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Light Dose Ranging Study of Photodynamic Therapy (PDT) With Levulan + Blue Light Versus Vehicle + Blue Light in Severe Facial Acne

A Randomized, Evaluator-blinded, Parallel Group Light Dose Ranging Study of Photodynamic Therapy With Levulan Topical Solution + Blue Light Versus Levulan Topical Solution Vehicle + Blue Light on Moderate to Severe Facial Acne Vulgaris

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00706433
Enrollment
266
Registered
2008-06-27
Start date
2007-03-31
Completion date
2008-07-31
Last updated
2011-10-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acne Vulgaris

Keywords

Photodynamic Therapy

Brief summary

The purpose of this study is to determine and compare the safety and efficacy of multiple broad area photodynamic therapy treatments with aminolevulinic acid (ALA-PDT) and vehicle (VEH-PDT) in subjects with moderate to severe facial acne vulgaris.

Detailed description

This is a Phase II multicenter, randomized, evaluator-blinded, vehicle-controlled, parallel group light dose ranging study of photodynamic therapy in subjects with moderate to severe facial acne vulgaris. Subjects will be randomized to one of the following four treatment groups (1:1:1:1) to receive topical Levulan® Kerastick® containing 20% aminolevulinic acid HCL (ALA, active study drug) or the Kerastick® containing vehicle ingredients only (VEH). * Group 1 will have ALA applied to the entire facial area 45 minutes ± 15 minutes prior to BLUE light treatment for 1000 seconds (16 minutes 40 seconds) * Group 2 will have ALA applied to the entire facial area 45 minutes ± 15 minutes prior to BLUE light treatment for 500 seconds (8 minutes 20 seconds) * Group 3 will have VEH applied to the entire facial area 45 minutes ± 15 minutes prior to BLUE light treatment for 1000 seconds (16 minutes 40 seconds) * Group 4 will have VEH applied to the entire facial area 45 minutes ± 15 minutes prior to BLUE light treatment for 500 seconds (8 minutes 20 seconds) Each subject may receive up to four treatments at three week (± 2 days) intervals. The power density (dose rate) and the total fluence (light dose) used at each treatment is intended to remain constant throughout each subject's participation. If a subject meets or exceeds the criteria restricting retreatment (CRR) prior to retreatment (Section 5.6), he/she will not receive additional PDT treatment at that visit and will be asked to return for the next scheduled PDT visit 3 weeks later, if applicable. Post-treatment follow-up visits will be scheduled to occur at 3 and 6 weeks after the subject's final PDT. Grading of the subject's facial acne will be conducted by a blinded evaluator who will remain blinded with respect to the subject's treatment assignment. Tolerability of treatment will be assessed by evaluations of the local skin response (erythema, edema, etc.) and will be conducted by an unblinded evaluator. Safety will be evaluated by adverse events and local skin responses reported during the study.

Interventions

Levulan Kerastick containing 20% aminolevulinic acid HCL (ALA). Up to 4 treatments will be given at 3 week intervals.

OTHERVehicle (VEH)

Levulan Kerastick containing vehicle ingredients only (VEH). Up to 4 treatments will be given at 3 week intervals.

Sponsors

DUSA Pharmaceuticals, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Subject is male or non-pregnant female 12 years of age or older. * Females must be post-menopausal, surgically sterile or using a medically acceptable form of birth control, with a negative urine pregnancy test at the Baseline visit. * Subject has provided written and verbal informed consent. A subject under 18 years of age must be accompanied by the parent or legal guardian at the time of assent/consent signing. The parent or legal guardian must also provide informed consent for the subject. * Subject has moderate to severe facial acne vulgaris (including the nose), with at least 20 inflammatory lesions (papules, pustules, nodules). * Subject has moderate to severe acne as defined by an Investigator Global Assessment of 3 or 4 \[0 (clear) to 4 (severe) scale\]. * Subject has a history of recurrent herpes simplex labialis infection in the treatment area AND has had an outbreak within the last 12 months must be placed on antiviral prophylaxis as specified in the protocol. * Subject is willing to comply with study instructions and return to the clinic for required visits. * Subject must have used the same type and brand of make-up, other facial products and hair products (e.g. shampoo, gel, hair spray, mousse, etc.) for at least 1 month prior to the Baseline Visit (General Skin & Hair Care). Upon enrollment, all subjects must a) use exclusively an Investigator approved facial cleanser and b) agree to continue their other General Skin & Hair Care for the entire study.

Exclusion criteria

* Subject is pregnant, lactating, or is planning to become pregnant during the study. * Subject has a history of cutaneous photosensitization, porphyria, hypersensitivity to porphyrins or photodermatosis. * Subject has any skin pathology or condition that could interfere with the evaluation of the test product or requires the use of interfering topical or systemic therapy. * Subject has greater than 4 facial nodules (nodule = lesion greater than or equal 0.5 cm in diameter) * Subject has an uncorrected coagulation defect or concurrently uses anticoagulants (except aspirin). * Subject has any condition which, in the investigator's opinion, would make it unsafe for the subject to participate in this research study. * Subject is currently enrolled in an investigational drug or device study. * Subject has received an investigational drug or been treated with an investigational device within 30 days prior to the initiation of treatment (baseline). * Subject has facial hair that could interfere with the study assessments in the opinion of the investigator. * Subject is unable to communicate or cooperate with the investigator due to language problems, poor mental development, or impaired cerebral function. * Subject may be unreliable for the study including subjects who engage in excessive alcohol intake or drug abuse, or subjects who are unable to return for scheduled follow-up visits. * Subject has a known sensitivity to one or more of the vehicle components (ethyl alcohol, isopropyl alcohol, laureth 4, polyethylene glycol). * Subject has used photosensitizing drugs, e.g. declomycin, tetracycline, sulfa antibiotics, phenothiazines, etc. within a timeframe where photosensitization from these drugs may still be present. * Subject has used OTC acne medicated cleansers or soaps within 2 weeks of the initiation of treatment. * Subject has the need or plans to be exposed to artificial tanning devices or excessive sunlight during the trial. * Subject has used any of the following topical anti-acne preparations on the face: a.) Topical anti-acne treatments including benzoyl peroxide, antibiotics, azelaic acid, corticosteroids and salicylic acid within 2 weeks of the initiation of treatment b.) Retinoids, including tazarotene, adapalene, tretinoin within 4 weeks of the initiation of treatment. c.) Light treatments, microdermabrasion or chemical peels within 8 weeks of the initiation of treatment. * Subject has used any of the following systemic anti-acne medications: a.) Corticosteroids (including intramuscular and intralesional injections) within 4 weeks of the initiation of treatment. Inhaled corticosteroids are allowed if use is stable (stable use is defined as dose and frequency unchanged for at least 2 weeks prior to the initiation of treatment). b.) Antibiotics within 4 weeks of the initiation of treatment. c.) Nicotinamide containing products within 4 weeks of the initiation of treatment. d.) Spironolactone within 8 weeks of the initiation of treatment. d.) Retinoid therapy within 6 months of the initiation of treatment.

Design outcomes

Primary

MeasureTime frameDescription
Change in Inflammatory Lesion Counts Relative to BaselineBaseline and 3 weeks after final treatment
Investigator Global Assessment of Acne Severity SuccessesBaseline and 3 weeks after final treatmentScale consists of Grade 0 (clear skin) to Grade 4 (severe: up to many non-inflammatory and inflammatory lesions, but no more than a few nodular lesions) This assessment uses a dichotomized success/failure assessment - with success defined as a 2 point or more improvement on the IGA scale since baseline.

Secondary

MeasureTime frameDescription
Change in Inflammatory Lesion Counts Relative to BaselineBaseline and 6 weeks after final treatmentchange in lesion counts compared to baseline
Investigator Global Assessment of Acne Severity SuccessesBaesline and 6 weeks after final treatmentAssessment uses a dichotomized success/failure assessment with success defined as a 2 point or more improvement since baseline. 0 Clear skin with no inflam or non-inflam lesions 1. Almost clear; rare non-inflam lesions with no more than a few small inflam lesions 2. Mild; \> Grade 1; some non-inflam lesions with some inflam lesions (papules/pustules only; no nodules) 3. Moderate; \> Grade 2; up to many non-inflam lesions and a moderate number of inflam lesions but no more than one small nodule 4. Severe; \> Grade 3; up to many non-inflam and inflam lesions, but no more than a few nodules
Hyperpigmentation 48 Hours After PDT #148 hours after PDT #1HYPERPIGMENTATION SCALE Grade 0 = No hyperpigmentation Grade 1 = Light hyperpigmentation involving small areas Grade 2 = Moderate hyperpigmentation involving small areas; light hyperpigmentation involving moderate areas Grade 3 = Moderate hyperpigmentation involving moderate sized areas; light hyperpigmentation involving large areas; small areas of marked hyperpigmentation Grade 4 = Marked hyperpigmentation involving moderate or large sized areas
Hyperpigmentation at Visit 3 (Week 3)Visit 3 (Week 3)HYPERPIGMENTATION SCALE Grade 0 = No hyperpigmentation Grade 1 = Light hyperpigmentation involving small areas Grade 2 = Moderate hyperpigmentation involving small areas; light hyperpigmentation involving moderate areas Grade 3 = Moderate hyperpigmentation involving moderate sized areas; light hyperpigmentation involving large areas; small areas of marked hyperpigmentation Grade 4 = Marked hyperpigmentation involving moderate or large sized areas
Hyperpigmentation at Visit 5 (Week 6)Visit 5 (Week 6)HYPERPIGMENTATION SCALE Grade 0 = No hyperpigmentation Grade 1 = Light hyperpigmentation involving small areas Grade 2 = Moderate hyperpigmentation involving small areas; light hyperpigmentation involving moderate areas Grade 3 = Moderate hyperpigmentation involving moderate sized areas; light hyperpigmentation involving large areas; small areas of marked hyperpigmentation Grade 4 = Marked hyperpigmentation involving moderate or large sized areas
Hyperpigmentation at Visit 7 (Week 9)Visit 7 (Week 9)HYPERPIGMENTATION SCALE Grade 0 = No hyperpigmentation Grade 1 = Light hyperpigmentation involving small areas Grade 2 = Moderate hyperpigmentation involving small areas; light hyperpigmentation involving moderate areas Grade 3 = Moderate hyperpigmentation involving moderate sized areas; light hyperpigmentation involving large areas; small areas of marked hyperpigmentation Grade 4 = Marked hyperpigmentation involving moderate or large sized areas
Hyperpigmentation at Visit 9 (3 Weeks After Final PDT)Visit 9 (3 weeks after final PDT)HYPERPIGMENTATION SCALE Grade 0 = No hyperpigmentation Grade 1 = Light hyperpigmentation involving small areas Grade 2 = Moderate hyperpigmentation involving small areas; light hyperpigmentation involving moderate areas Grade 3 = Moderate hyperpigmentation involving moderate sized areas; light hyperpigmentation involving large areas; small areas of marked hyperpigmentation Grade 4 = Marked hyperpigmentation involving moderate or large sized areas
Hyperpigmentation at Visit 10 (6 Weeks After Final PDT)Visit 10 (6 weeks after final PDT)HYPERPIGMENTATION SCALE Grade 0 = No hyperpigmentation Grade 1 = Light hyperpigmentation involving small areas Grade 2 = Moderate hyperpigmentation involving small areas; light hyperpigmentation involving moderate areas Grade 3 = Moderate hyperpigmentation involving moderate sized areas; light hyperpigmentation involving large areas; small areas of marked hyperpigmentation Grade 4 = Marked hyperpigmentation involving moderate or large sized areas
Hypopigmentation 48 Hours Post PDT #148 hours post PDT #1HYPOPIGMENTATION SCALE Grade 0 = No hypopigmentation Grade 1 = Light hypopigmentation involving small areas Grade 2 = Moderate hypopigmentation involving small areas; light hypopigmentation involving moderate areas Grade 3 = Moderate hypopigmentation involving moderate sized areas; light hypopigmentation involving large areas; small areas of marked hypopigmentation Grade 4 = Marked hypopigmentation involving moderate or large sized areas
Hypopigmentation at Visit 3 (Week 3)Visit 3 (Week 3)HYPOPIGMENTATION SCALE Grade 0 = No hypopigmentation Grade 1 = Light hypopigmentation involving small areas Grade 2 = Moderate hypopigmentation involving small areas; light hypopigmentation involving moderate areas Grade 3 = Moderate hypopigmentation involving moderate sized areas; light hypopigmentation involving large areas; small areas of marked hypopigmentation Grade 4 = Marked hypopigmentation involving moderate or large sized areas
Hypopigmentation at Visit 5 (Week 6)Visit 5 (Week 6)HYPOPIGMENTATION SCALE Grade 0 = No hypopigmentation Grade 1 = Light hypopigmentation involving small areas Grade 2 = Moderate hypopigmentation involving small areas; light hypopigmentation involving moderate areas Grade 3 = Moderate hypopigmentation involving moderate sized areas; light hypopigmentation involving large areas; small areas of marked hypopigmentation Grade 4 = Marked hypopigmentation involving moderate or large sized areas
Hypopigmentation at Visit 7 (Week 9)Visit 7 (Week 9)HYPOPIGMENTATION SCALE Grade 0 = No hypopigmentation Grade 1 = Light hypopigmentation involving small areas Grade 2 = Moderate hypopigmentation involving small areas; light hypopigmentation involving moderate areas Grade 3 = Moderate hypopigmentation involving moderate sized areas; light hypopigmentation involving large areas; small areas of marked hypopigmentation Grade 4 = Marked hypopigmentation involving moderate or large sized areas
Hypopigmentation at Visit 9 (3 Weeks After Final PDT)Visit 9 (3 weeks after final PDT)HYPOPIGMENTATION SCALE Grade 0 = No hypopigmentation Grade 1 = Light hypopigmentation involving small areas Grade 2 = Moderate hypopigmentation involving small areas; light hypopigmentation involving moderate areas Grade 3 = Moderate hypopigmentation involving moderate sized areas; light hypopigmentation involving large areas; small areas of marked hypopigmentation Grade 4 = Marked hypopigmentation involving moderate or large sized areas
Hypopigmentation at Visit 10 (6 Weeks After Final PDT)Visit 10 (6 weeks after final PDT)HYPOPIGMENTATION SCALE Grade 0 = No hypopigmentation Grade 1 = Light hypopigmentation involving small areas Grade 2 = Moderate hypopigmentation involving small areas; light hypopigmentation involving moderate areas Grade 3 = Moderate hypopigmentation involving moderate sized areas; light hypopigmentation involving large areas; small areas of marked hypopigmentation Grade 4 = Marked hypopigmentation involving moderate or large sized areas
Erythema at Baseline (Pre-light)Baseline (pre-light)After solution application, prior to light treatment Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema
Erythema at Baseline - Post Light TreatmentBaseline - post light treatmentGrade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema
Erythema 48 Hours After PDT #148 hours after PDT #1Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema
Erythema at Visit 3 (Week 3 - Pre Study Drug Application)Visit 3 (Week 3 - pre study drug application)Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema
Erythema at Visit 3 (Week 3 - Pre-light)Visit 3 (Week 3 - pre-light)Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema
Erythema at Visit 3 (Week 3 - Post Light Treatment)Visit 3 (Week 3 - post light treatment)Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema
Erythema at Visit 5 (Week 6 - Prior to Study Drug Application)Visit 5 (Week 6 - prior to study drug application)Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema
Erythema at Visit 5 (Weeks 6 - Pre-light Treatment)Visit 5 (Weeks 6 - pre-light treatment)Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema
Erythema at Visit 5 (Week 6 - Post Light Treatment)Visit 5 (Week 6 - post light treatment)Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema
Erythema at Visit 7 (Week 9 - Prior to Study Drug Application)Visit 7 (Week 9 - prior to study drug application)Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema
Erythema at Visit 7 (Week 9 - Pre Light Treatment)Visit 7 (Week 9 - pre light treatment)Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema
Erythema at Visit 7 (Week 9 - Post Light Treatment)Visit 7 (Week 9 - post light treatment)Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema
Erythema 3 Weeks After Final PDT3 Weeks after Final PDTGrade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema
Erythema 6 Weeks After Final PDT6 Weeks after Final PDTGrade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema
Edema at Baseline - Pre Light TreatmentBaseline - pre light treatmentEDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area
Edema at Baseline - Post Light TreatmentBaseline - Post Light TreatmentEDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area
Edema 48 Hours After PDT #148 hours after PDT #1EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area
Edema at Visit 3 (Week 3 - Before Study Drug Application)Visit 3 (Week 3 - before study drug application)EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area
Edema at Visit 3 (Week 3 - Before Light Treatment)Visit 3 (Week 3 - before light treatment)EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area
Edema at Visit 3 (Week 3 - Post Light Treatment)Visit 3 (Week 3 - post light treatment)EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area
Edema at Visit 5 (Week 6 - Before Study Drug Application)Visit 5 (Week 6 - before study drug application)EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area
Edema at Visit 5 (Week 6 - Pre Light Treatment)Visit 5 (Week 6 - pre light treatment)EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area
Edema at Visit 5 (Week 6 - Post Light Treatment)Visit 5 (Week 6 - post light treatment)EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area
Edema at Visit 7 (Week 9 - Before Study Drug Application)Visit 7 (Week 9 - before study drug application)EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area
Edema at Visit 7 (Week 9 - Prior to Light Treatment)Visit 7 (Week 9 - prior to light treatment)EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area
Edema at Visit 7 (Week 9 - Post Light Treatment)Visit 7 (Week 9 - post light treatment)EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area
Edema 3 Weeks After Final PDT3 weeks after final PDTEDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area
Edema 6 Weeks After Final PDT6 weeks after final PDTEDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area
Stinging/Burning at Baseline - Before Light TreatmentBaseline - before light treatmentSTINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning at Baseline - During LightBaseline - during lightSTINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning at Baseline - Post Light TreatmentBaseline - post light treatmentSTINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning 48 Hours Post PDT #148 hours post PDT #1STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Visit 3 (Week 3 - before study drug application)STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Visit 3 (Week 3 - before light treatment)STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning at Visit 3 (Week 3 - During Light Treatment)Visit 3 (Week 3 - during light treatment)STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Visit 3 (Week 3 - post light treatment)STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Visit 5 (Week 6 - before study drug application)STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Visit 5 (Week 6 - prior to light treatment)STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning at Visit 5 (Week 6 - During Light Treatment)Visit 5 (Week 6 - during light treatment)STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Visit 5 (Week 6 - post light treatment)STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Visit 7 (Week 9 - before study drug application)STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Visit 7 (Week 9 - prior to light treatment)STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning at Visit 7 (Week 9 - During Light Treatment)Visit 7 (Week 9 - during light treatment)STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Visit 7 (Week 9 - post light treatment)STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning at Visit 9 (3 Weeks After Final PDT)Visit 9 (3 Weeks after Final PDT)STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Stinging/Burning at Visit 10 (6 Weeks After Final PDT)Visit 10 (6 Weeks after Final PDT)STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable
Scaling and Dryness 48 Hours After PDT #148 hours after PDT #1SCALING AND DRYNESS SCALE Grade 0 = None Grade 1 = Minimal - barely perceptible desquamation Grade 2 = Mild - limited areas of fine desquamation in up to 1/3 of the treatment area Grade 3 = Moderate - fine desquamation involving 1/3 to 2/3 of the treatment area or limited areas of coarser scaling Grade 4 = Severe - coarser scaling involving more than 2/3 of the treatment area or limited areas of very coarse scaling
Scaling and Dryness at Visit 3 (Week 3)Visit 3 (Week 3)SCALING AND DRYNESS SCALE Grade 0 = None Grade 1 = Minimal - barely perceptible desquamation Grade 2 = Mild - limited areas of fine desquamation in up to 1/3 of the treatment area Grade 3 = Moderate - fine desquamation involving 1/3 to 2/3 of the treatment area or limited areas of coarser scaling Grade 4 = Severe - coarser scaling involving more than 2/3 of the treatment area or limited areas of very coarse scaling
Scaling and Dryness at Visit 5 (Week 6)Visit 5 (Week 6)SCALING AND DRYNESS SCALE Grade 0 = None Grade 1 = Minimal - barely perceptible desquamation Grade 2 = Mild - limited areas of fine desquamation in up to 1/3 of the treatment area Grade 3 = Moderate - fine desquamation involving 1/3 to 2/3 of the treatment area or limited areas of coarser scaling Grade 4 = Severe - coarser scaling involving more than 2/3 of the treatment area or limited areas of very coarse scaling
Scaling and Dryness at Visit 7 (Week 9)Visit 7 (Week 9)SCALING AND DRYNESS SCALE Grade 0 = None Grade 1 = Minimal - barely perceptible desquamation Grade 2 = Mild - limited areas of fine desquamation in up to 1/3 of the treatment area Grade 3 = Moderate - fine desquamation involving 1/3 to 2/3 of the treatment area or limited areas of coarser scaling Grade 4 = Severe - coarser scaling involving more than 2/3 of the treatment area or limited areas of very coarse scaling
Subject Satisfaction Score6 weeks after final treatmentSubject satisfaction score 1. = Excellent (very satisfied) 2. = Good (moderately satisfied) 3. = Fair (slightly satisfied) 4. = Poor (not satisfied at all)
Scaling and Dryness at Visit 10 (6 Weeks After Final PDT)Visit 10 (6 Weeks after Final PDT)SCALING AND DRYNESS SCALE Grade 0 = None Grade 1 = Minimal - barely perceptible desquamation Grade 2 = Mild - limited areas of fine desquamation in up to 1/3 of the treatment area Grade 3 = Moderate - fine desquamation involving 1/3 to 2/3 of the treatment area or limited areas of coarser scaling Grade 4 = Severe - coarser scaling involving more than 2/3 of the treatment area or limited areas of very coarse scaling
Oozing/Vesiculation/Crusting 48 Hours After PDT #148 hours after PDT #1OOZING/VESICULATION/CRUSTING Grade 0 = None Grade 1 = Minimal - a single area of oozing, vesiculation or crusting 3 mm diameter or less in size Grade 2 = Mild - two to four areas of oozing, vesiculation or crusting 3 mm diameter or less in size OR a single area larger than 3 mm diameter in size Grade 3 = Moderate - more than a single area of oozing, vesiculation or crusting larger than 3 mm diameter in size or more than four areas of 3 mm diameter or less in size Grade 4 = Severe - any degree of oozing, vesiculation or crusting greater than (3) above
Oozing/Vesiculation/Crusting at Visit 3 (Week 3)Visit 3 (Week 3)OOZING/VESICULATION/CRUSTING Grade 0 = None Grade 1 = Minimal - a single area of oozing, vesiculation or crusting 3 mm diameter or less in size Grade 2 = Mild - two to four areas of oozing, vesiculation or crusting 3 mm diameter or less in size OR a single area larger than 3 mm diameter in size Grade 3 = Moderate - more than a single area of oozing, vesiculation or crusting larger than 3 mm diameter in size or more than four areas of 3 mm diameter or less in size Grade 4 = Severe - any degree of oozing, vesiculation or crusting greater than (3) above
Oozing/Vesiculation/Crusting at Visit 5 (Week 6)Visit 5 (Week 6)OOZING/VESICULATION/CRUSTING Grade 0 = None Grade 1 = Minimal - a single area of oozing, vesiculation or crusting 3 mm diameter or less in size Grade 2 = Mild - two to four areas of oozing, vesiculation or crusting 3 mm diameter or less in size OR a single area larger than 3 mm diameter in size Grade 3 = Moderate - more than a single area of oozing, vesiculation or crusting larger than 3 mm diameter in size or more than four areas of 3 mm diameter or less in size Grade 4 = Severe - any degree of oozing, vesiculation or crusting greater than (3) above
Oozing/Vesiculation/Crusting at Visit 7 (Week 9)Visit 7 (Week 9)OOZING/VESICULATION/CRUSTING Grade 0 = None Grade 1 = Minimal - a single area of oozing, vesiculation or crusting 3 mm diameter or less in size Grade 2 = Mild - two to four areas of oozing, vesiculation or crusting 3 mm diameter or less in size OR a single area larger than 3 mm diameter in size Grade 3 = Moderate - more than a single area of oozing, vesiculation or crusting larger than 3 mm diameter in size or more than four areas of 3 mm diameter or less in size Grade 4 = Severe - any degree of oozing, vesiculation or crusting greater than (3) above
Oozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Visit 9 (3 Weeks after Final PDT)OOZING/VESICULATION/CRUSTING Grade 0 = None Grade 1 = Minimal - a single area of oozing, vesiculation or crusting 3 mm diameter or less in size Grade 2 = Mild - two to four areas of oozing, vesiculation or crusting 3 mm diameter or less in size OR a single area larger than 3 mm diameter in size Grade 3 = Moderate - more than a single area of oozing, vesiculation or crusting larger than 3 mm diameter in size or more than four areas of 3 mm diameter or less in size Grade 4 = Severe - any degree of oozing, vesiculation or crusting greater than (3) above
Oozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Visit 10 (6 Weeks after Final PDT)OOZING/VESICULATION/CRUSTING Grade 0 = None Grade 1 = Minimal - a single area of oozing, vesiculation or crusting 3 mm diameter or less in size Grade 2 = Mild - two to four areas of oozing, vesiculation or crusting 3 mm diameter or less in size OR a single area larger than 3 mm diameter in size Grade 3 = Moderate - more than a single area of oozing, vesiculation or crusting larger than 3 mm diameter in size or more than four areas of 3 mm diameter or less in size Grade 4 = Severe - any degree of oozing, vesiculation or crusting greater than (3) above
Scaling and Dryness at Visit 9 (3 Weeks After Final PDT)Visit 9 (3 Weeks after Final PDT)SCALING AND DRYNESS SCALE Grade 0 = None Grade 1 = Minimal - barely perceptible desquamation Grade 2 = Mild - limited areas of fine desquamation in up to 1/3 of the treatment area Grade 3 = Moderate - fine desquamation involving 1/3 to 2/3 of the treatment area or limited areas of coarser scaling Grade 4 = Severe - coarser scaling involving more than 2/3 of the treatment area or limited areas of very coarse scaling
Percent Change in Inflammatory Lesion Counts Relative to BaselineBaseline and 3 weeks after final treatment

Countries

United States

Participant flow

Recruitment details

Recruitment period: 3/7/07 - 3/31/08 Types of location: medical clinics

Pre-assignment details

no enrolled participants excluded from the trial before assignment to groups

Participants by arm

ArmCount
ALA 1000 Seconds
Aminolevulinic acid HCL (ALA) applied to the entire facial area 45 minutes prior to BLUE light treatment for 1000 seconds (16 minutes and 40 seconds)
68
ALA 500 Seconds
Aminolevulinic acid HCL (ALA) applied to the entire facial area 45 minutes prior to BLUE light treatment for 500 seconds (8 minutes and 20 seconds)
65
Vehicle 1000 Seconds
Vehicle (VEH) applied to the entire facial area 45 minutes prior to BLUE light treatment for 1000 seconds (16 minutes and 40 seconds)
67
Vehicle 500 Seconds
Vehicle (VEH) applied to the entire facial area 45 minutes prior to BLUE light treatment for 500 seconds (8 minutes 20 seconds)
66
Total266

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event0010
Overall StudyLost to Follow-up3160
Overall Studynew job0001
Overall StudyProtocol Violation1000
Overall StudyWithdrawal by Subject1231

Baseline characteristics

CharacteristicALA 1000 SecondsALA 500 SecondsVehicle 1000 SecondsVehicle 500 SecondsTotal
Age, Categorical
<=18 years
41 Participants44 Participants33 Participants37 Participants155 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
27 Participants21 Participants34 Participants29 Participants111 Participants
Age Continuous20.0 years
STANDARD_DEVIATION 6.15
19.4 years
STANDARD_DEVIATION 6.82
21.3 years
STANDARD_DEVIATION 6.77
19.8 years
STANDARD_DEVIATION 5.31
20.1 years
STANDARD_DEVIATION 6.3
Edema
Grade 0 (none)
65 participants64 participants65 participants65 participants259 participants
Edema
Grade 1 (minimal)
3 participants1 participants2 participants1 participants7 participants
Erythema
Grade 0 (none)
37 participants34 participants41 participants36 participants148 participants
Erythema
Grade 1 (minimal)
24 participants20 participants16 participants21 participants81 participants
Erythema
Grade 2 (mild)
6 participants11 participants9 participants8 participants34 participants
Erythema
Grade 3 (moderate)
1 participants0 participants1 participants1 participants3 participants
Ethnicity (NIH/OMB)
Hispanic or Latino
12 Participants7 Participants11 Participants9 Participants39 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
56 Participants58 Participants56 Participants57 Participants227 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Fitzpatrick Skin Type
Type III - tans gradually (light brown)(normal)
24 participant24 participant24 participant15 participant87 participant
Fitzpatrick Skin Type
Type II - tans minimally (sensitive)
16 participant13 participant14 participant19 participant62 participant
Fitzpatrick Skin Type
Type I - never tans (sensitive)
0 participant3 participant2 participant3 participant8 participant
Fitzpatrick Skin Type
Type IV - always tans well (moderate brown)
17 participant15 participant15 participant16 participant63 participant
Fitzpatrick Skin Type
Type VI - deeply pigmented (insensitive)
4 participant6 participant6 participant3 participant19 participant
Fitzpatrick Skin Type
Type V - tans profusely (dark brown)
7 participant4 participant6 participant10 participant27 participant
Hyperpigmentation
Grade 0 (none)
50 participants48 participants49 participants53 participants200 participants
Hyperpigmentation
Grade 1 (light)
12 participants16 participants12 participants6 participants46 participants
Hyperpigmentation
Grade 2 (moderate - small)
5 participants1 participants6 participants4 participants16 participants
Hyperpigmentation
Grade 3 (moderate - moderate)
1 participants0 participants0 participants3 participants4 participants
Hypopigmentation
Grade 0 (none)
65 participants65 participants67 participants64 participants261 participants
Hypopigmentation
Grade 1 (light)
3 participants0 participants0 participants2 participants5 participants
Investigator Global Assessment of Acne Severity
Grade 3 (moderate severity)
28 participants37 participants31 participants31 participants127 participants
Investigator Global Assessment of Acne Severity
Grade 4 (severe)
40 participants28 participants36 participants35 participants139 participants
Number of Inflammatory Lesions50.0 lesions
STANDARD_DEVIATION 35.8
44.0 lesions
STANDARD_DEVIATION 27
49.0 lesions
STANDARD_DEVIATION 34.8
41.5 lesions
STANDARD_DEVIATION 26.6
44.5 lesions
STANDARD_DEVIATION 31.4
Oozing/vesiculation.crusting
Grade 0 (none)
62 participants62 participants63 participants64 participants251 participants
Oozing/vesiculation.crusting
Grade 1 (minimal)
3 participants3 participants1 participants2 participants9 participants
Oozing/vesiculation.crusting
Grade 2 (mild)
3 participants0 participants3 participants0 participants6 participants
Scaling and Dryness
Grade 0 (none)
53 participants47 participants44 participants46 participants190 participants
Scaling and Dryness
Grade 1 (minimal)
13 participants14 participants20 participants17 participants64 participants
Scaling and Dryness
Grade 2 (mild)
2 participants3 participants2 participants2 participants9 participants
Scaling and Dryness
Grade 3 (moderate)
0 participants1 participants0 participants1 participants2 participants
Scaling and Dryness
Grade 4 (severe)
0 participants0 participants1 participants0 participants1 participants
Sex: Female, Male
Female
30 Participants35 Participants38 Participants35 Participants138 Participants
Sex: Female, Male
Male
38 Participants30 Participants29 Participants31 Participants128 Participants
Stinging/Burning
Grade 0 (none)
64 participant63 participant66 participant63 participant256 participant
Stinging/Burning
Grade 1 (minimal)
4 participant2 participant1 participant3 participant10 participant

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
35 / —38 / —19 / —22 / —
serious
Total, serious adverse events
0 / 680 / 650 / 670 / 66

Outcome results

Primary

Change in Inflammatory Lesion Counts Relative to Baseline

Time frame: Baseline and 3 weeks after final treatment

Population: ITT analysis, LOCF

ArmMeasureValue (MEDIAN)Dispersion
ALA 1000 SecondsChange in Inflammatory Lesion Counts Relative to Baseline-18.0 change in lesion countStandard Deviation 26.3
ALA 500 SecondsChange in Inflammatory Lesion Counts Relative to Baseline-14.0 change in lesion countStandard Deviation 26.8
Vehicle 1000 SecondsChange in Inflammatory Lesion Counts Relative to Baseline-19.0 change in lesion countStandard Deviation 22.8
Vehicle 500 SecondsChange in Inflammatory Lesion Counts Relative to Baseline-14.5 change in lesion countStandard Deviation 24
Comparison: Null hypothesis: equal median changes from baseline in total inflammatory lesion counts among the treatmentsp-value: 0.768ANCOVA
Primary

Investigator Global Assessment of Acne Severity Successes

Scale consists of Grade 0 (clear skin) to Grade 4 (severe: up to many non-inflammatory and inflammatory lesions, but no more than a few nodular lesions) This assessment uses a dichotomized success/failure assessment - with success defined as a 2 point or more improvement on the IGA scale since baseline.

Time frame: Baseline and 3 weeks after final treatment

Population: ITT LOCF

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsInvestigator Global Assessment of Acne Severity SuccessesFailure55 participants
ALA 1000 SecondsInvestigator Global Assessment of Acne Severity SuccessesSuccess13 participants
ALA 500 SecondsInvestigator Global Assessment of Acne Severity SuccessesSuccess11 participants
ALA 500 SecondsInvestigator Global Assessment of Acne Severity SuccessesFailure54 participants
Vehicle 1000 SecondsInvestigator Global Assessment of Acne Severity SuccessesSuccess15 participants
Vehicle 1000 SecondsInvestigator Global Assessment of Acne Severity SuccessesFailure52 participants
Vehicle 500 SecondsInvestigator Global Assessment of Acne Severity SuccessesFailure55 participants
Vehicle 500 SecondsInvestigator Global Assessment of Acne Severity SuccessesSuccess11 participants
Comparison: Null hypothesis: equal success rates.p-value: 0.7975Cochran-Mantel-Haenszel
Secondary

Change in Inflammatory Lesion Counts Relative to Baseline

change in lesion counts compared to baseline

Time frame: Baseline and 6 weeks after final treatment

Population: ITT LOCF

ArmMeasureValue (MEDIAN)Dispersion
ALA 1000 SecondsChange in Inflammatory Lesion Counts Relative to Baseline-18.5 change in lesion countStandard Deviation 30.15
ALA 500 SecondsChange in Inflammatory Lesion Counts Relative to Baseline-13.0 change in lesion countStandard Deviation 28.74
Vehicle 1000 SecondsChange in Inflammatory Lesion Counts Relative to Baseline-21.0 change in lesion countStandard Deviation 23.63
Vehicle 500 SecondsChange in Inflammatory Lesion Counts Relative to Baseline-17.0 change in lesion countStandard Deviation 26.71
Comparison: Null hypothesis: equal median changes from baseline in total inflammatory lesion counts among the treatmentsp-value: 0.1103ANCOVA
Secondary

Edema 3 Weeks After Final PDT

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Time frame: 3 weeks after final PDT

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsEdema 3 Weeks After Final PDTGrade 0 (none)62 participants
ALA 1000 SecondsEdema 3 Weeks After Final PDTGrade 2 (mild)0 participants
ALA 1000 SecondsEdema 3 Weeks After Final PDTGrade 1 (minimal)0 participants
ALA 500 SecondsEdema 3 Weeks After Final PDTGrade 0 (none)60 participants
ALA 500 SecondsEdema 3 Weeks After Final PDTGrade 2 (mild)0 participants
ALA 500 SecondsEdema 3 Weeks After Final PDTGrade 1 (minimal)1 participants
Vehicle 1000 SecondsEdema 3 Weeks After Final PDTGrade 1 (minimal)0 participants
Vehicle 1000 SecondsEdema 3 Weeks After Final PDTGrade 0 (none)57 participants
Vehicle 1000 SecondsEdema 3 Weeks After Final PDTGrade 2 (mild)0 participants
Vehicle 500 SecondsEdema 3 Weeks After Final PDTGrade 0 (none)63 participants
Vehicle 500 SecondsEdema 3 Weeks After Final PDTGrade 2 (mild)0 participants
Vehicle 500 SecondsEdema 3 Weeks After Final PDTGrade 1 (minimal)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Edema 48 Hours After PDT #1

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Time frame: 48 hours after PDT #1

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsEdema 48 Hours After PDT #1Grade 0 (none)64 participants
ALA 1000 SecondsEdema 48 Hours After PDT #1Grade 2 (mild)0 participants
ALA 1000 SecondsEdema 48 Hours After PDT #1Grade 1 (minimal)4 participants
ALA 500 SecondsEdema 48 Hours After PDT #1Grade 0 (none)57 participants
ALA 500 SecondsEdema 48 Hours After PDT #1Grade 2 (mild)1 participants
ALA 500 SecondsEdema 48 Hours After PDT #1Grade 1 (minimal)7 participants
Vehicle 1000 SecondsEdema 48 Hours After PDT #1Grade 1 (minimal)5 participants
Vehicle 1000 SecondsEdema 48 Hours After PDT #1Grade 0 (none)61 participants
Vehicle 1000 SecondsEdema 48 Hours After PDT #1Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema 48 Hours After PDT #1Grade 0 (none)64 participants
Vehicle 500 SecondsEdema 48 Hours After PDT #1Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema 48 Hours After PDT #1Grade 1 (minimal)2 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.343Cochran-Mantel-Haenszel
Secondary

Edema 6 Weeks After Final PDT

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Time frame: 6 weeks after final PDT

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsEdema 6 Weeks After Final PDTGrade 2 (mild)0 participants
ALA 1000 SecondsEdema 6 Weeks After Final PDTGrade 1 (minimal)1 participants
ALA 1000 SecondsEdema 6 Weeks After Final PDTGrade 0 (none)62 participants
ALA 500 SecondsEdema 6 Weeks After Final PDTGrade 2 (mild)0 participants
ALA 500 SecondsEdema 6 Weeks After Final PDTGrade 0 (none)62 participants
ALA 500 SecondsEdema 6 Weeks After Final PDTGrade 1 (minimal)0 participants
Vehicle 1000 SecondsEdema 6 Weeks After Final PDTGrade 0 (none)57 participants
Vehicle 1000 SecondsEdema 6 Weeks After Final PDTGrade 2 (mild)0 participants
Vehicle 1000 SecondsEdema 6 Weeks After Final PDTGrade 1 (minimal)0 participants
Vehicle 500 SecondsEdema 6 Weeks After Final PDTGrade 1 (minimal)0 participants
Vehicle 500 SecondsEdema 6 Weeks After Final PDTGrade 2 (mild)0 participants
Vehicle 500 SecondsEdema 6 Weeks After Final PDTGrade 0 (none)64 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Edema at Baseline - Post Light Treatment

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Time frame: Baseline - Post Light Treatment

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsEdema at Baseline - Post Light TreatmentGrade 0 (none)62 participants
ALA 1000 SecondsEdema at Baseline - Post Light TreatmentGrade 2 (mild)1 participants
ALA 1000 SecondsEdema at Baseline - Post Light TreatmentGrade 1 (minimal)5 participants
ALA 500 SecondsEdema at Baseline - Post Light TreatmentGrade 0 (none)63 participants
ALA 500 SecondsEdema at Baseline - Post Light TreatmentGrade 2 (mild)0 participants
ALA 500 SecondsEdema at Baseline - Post Light TreatmentGrade 1 (minimal)2 participants
Vehicle 1000 SecondsEdema at Baseline - Post Light TreatmentGrade 1 (minimal)3 participants
Vehicle 1000 SecondsEdema at Baseline - Post Light TreatmentGrade 0 (none)64 participants
Vehicle 1000 SecondsEdema at Baseline - Post Light TreatmentGrade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Baseline - Post Light TreatmentGrade 0 (none)65 participants
Vehicle 500 SecondsEdema at Baseline - Post Light TreatmentGrade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Baseline - Post Light TreatmentGrade 1 (minimal)1 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.4378Cochran-Mantel-Haenszel
Secondary

Edema at Baseline - Pre Light Treatment

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Time frame: Baseline - pre light treatment

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsEdema at Baseline - Pre Light TreatmentGrade 1 (minimal)3 participants
ALA 1000 SecondsEdema at Baseline - Pre Light TreatmentGrade 2 (mild)0 participants
ALA 1000 SecondsEdema at Baseline - Pre Light TreatmentGrade 0 (none)65 participants
ALA 500 SecondsEdema at Baseline - Pre Light TreatmentGrade 0 (none)63 participants
ALA 500 SecondsEdema at Baseline - Pre Light TreatmentGrade 2 (mild)0 participants
ALA 500 SecondsEdema at Baseline - Pre Light TreatmentGrade 1 (minimal)2 participants
Vehicle 1000 SecondsEdema at Baseline - Pre Light TreatmentGrade 1 (minimal)3 participants
Vehicle 1000 SecondsEdema at Baseline - Pre Light TreatmentGrade 2 (mild)0 participants
Vehicle 1000 SecondsEdema at Baseline - Pre Light TreatmentGrade 0 (none)64 participants
Vehicle 500 SecondsEdema at Baseline - Pre Light TreatmentGrade 0 (none)65 participants
Vehicle 500 SecondsEdema at Baseline - Pre Light TreatmentGrade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Baseline - Pre Light TreatmentGrade 1 (minimal)1 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Edema at Visit 3 (Week 3 - Before Light Treatment)

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Time frame: Visit 3 (Week 3 - before light treatment)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsEdema at Visit 3 (Week 3 - Before Light Treatment)Grade 0 (none)60 participants
ALA 1000 SecondsEdema at Visit 3 (Week 3 - Before Light Treatment)Grade 2 (mild)0 participants
ALA 1000 SecondsEdema at Visit 3 (Week 3 - Before Light Treatment)Grade 1 (minimal)2 participants
ALA 500 SecondsEdema at Visit 3 (Week 3 - Before Light Treatment)Grade 0 (none)60 participants
ALA 500 SecondsEdema at Visit 3 (Week 3 - Before Light Treatment)Grade 2 (mild)0 participants
ALA 500 SecondsEdema at Visit 3 (Week 3 - Before Light Treatment)Grade 1 (minimal)1 participants
Vehicle 1000 SecondsEdema at Visit 3 (Week 3 - Before Light Treatment)Grade 1 (minimal)1 participants
Vehicle 1000 SecondsEdema at Visit 3 (Week 3 - Before Light Treatment)Grade 0 (none)61 participants
Vehicle 1000 SecondsEdema at Visit 3 (Week 3 - Before Light Treatment)Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Visit 3 (Week 3 - Before Light Treatment)Grade 0 (none)65 participants
Vehicle 500 SecondsEdema at Visit 3 (Week 3 - Before Light Treatment)Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Visit 3 (Week 3 - Before Light Treatment)Grade 1 (minimal)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Edema at Visit 3 (Week 3 - Before Study Drug Application)

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Time frame: Visit 3 (Week 3 - before study drug application)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsEdema at Visit 3 (Week 3 - Before Study Drug Application)Grade 0 (none)62 participants
ALA 1000 SecondsEdema at Visit 3 (Week 3 - Before Study Drug Application)Grade 2 (mild)0 participants
ALA 1000 SecondsEdema at Visit 3 (Week 3 - Before Study Drug Application)Grade 1 (minimal)2 participants
ALA 500 SecondsEdema at Visit 3 (Week 3 - Before Study Drug Application)Grade 0 (none)61 participants
ALA 500 SecondsEdema at Visit 3 (Week 3 - Before Study Drug Application)Grade 2 (mild)0 participants
ALA 500 SecondsEdema at Visit 3 (Week 3 - Before Study Drug Application)Grade 1 (minimal)1 participants
Vehicle 1000 SecondsEdema at Visit 3 (Week 3 - Before Study Drug Application)Grade 1 (minimal)1 participants
Vehicle 1000 SecondsEdema at Visit 3 (Week 3 - Before Study Drug Application)Grade 0 (none)61 participants
Vehicle 1000 SecondsEdema at Visit 3 (Week 3 - Before Study Drug Application)Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Visit 3 (Week 3 - Before Study Drug Application)Grade 0 (none)66 participants
Vehicle 500 SecondsEdema at Visit 3 (Week 3 - Before Study Drug Application)Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Visit 3 (Week 3 - Before Study Drug Application)Grade 1 (minimal)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Edema at Visit 3 (Week 3 - Post Light Treatment)

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Time frame: Visit 3 (Week 3 - post light treatment)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsEdema at Visit 3 (Week 3 - Post Light Treatment)Grade 0 (none)60 participants
ALA 1000 SecondsEdema at Visit 3 (Week 3 - Post Light Treatment)Grade 2 (mild)0 participants
ALA 1000 SecondsEdema at Visit 3 (Week 3 - Post Light Treatment)Grade 1 (minimal)2 participants
ALA 500 SecondsEdema at Visit 3 (Week 3 - Post Light Treatment)Grade 0 (none)59 participants
ALA 500 SecondsEdema at Visit 3 (Week 3 - Post Light Treatment)Grade 2 (mild)0 participants
ALA 500 SecondsEdema at Visit 3 (Week 3 - Post Light Treatment)Grade 1 (minimal)2 participants
Vehicle 1000 SecondsEdema at Visit 3 (Week 3 - Post Light Treatment)Grade 1 (minimal)1 participants
Vehicle 1000 SecondsEdema at Visit 3 (Week 3 - Post Light Treatment)Grade 0 (none)61 participants
Vehicle 1000 SecondsEdema at Visit 3 (Week 3 - Post Light Treatment)Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Visit 3 (Week 3 - Post Light Treatment)Grade 0 (none)64 participants
Vehicle 500 SecondsEdema at Visit 3 (Week 3 - Post Light Treatment)Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Visit 3 (Week 3 - Post Light Treatment)Grade 1 (minimal)1 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Edema at Visit 5 (Week 6 - Before Study Drug Application)

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Time frame: Visit 5 (Week 6 - before study drug application)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsEdema at Visit 5 (Week 6 - Before Study Drug Application)Grade 0 (none)60 participants
ALA 1000 SecondsEdema at Visit 5 (Week 6 - Before Study Drug Application)Grade 2 (mild)0 participants
ALA 1000 SecondsEdema at Visit 5 (Week 6 - Before Study Drug Application)Grade 1 (minimal)2 participants
ALA 500 SecondsEdema at Visit 5 (Week 6 - Before Study Drug Application)Grade 0 (none)63 participants
ALA 500 SecondsEdema at Visit 5 (Week 6 - Before Study Drug Application)Grade 2 (mild)0 participants
ALA 500 SecondsEdema at Visit 5 (Week 6 - Before Study Drug Application)Grade 1 (minimal)0 participants
Vehicle 1000 SecondsEdema at Visit 5 (Week 6 - Before Study Drug Application)Grade 1 (minimal)1 participants
Vehicle 1000 SecondsEdema at Visit 5 (Week 6 - Before Study Drug Application)Grade 0 (none)59 participants
Vehicle 1000 SecondsEdema at Visit 5 (Week 6 - Before Study Drug Application)Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Visit 5 (Week 6 - Before Study Drug Application)Grade 0 (none)62 participants
Vehicle 500 SecondsEdema at Visit 5 (Week 6 - Before Study Drug Application)Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Visit 5 (Week 6 - Before Study Drug Application)Grade 1 (minimal)1 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Edema at Visit 5 (Week 6 - Post Light Treatment)

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Time frame: Visit 5 (Week 6 - post light treatment)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsEdema at Visit 5 (Week 6 - Post Light Treatment)Grade 0 (none)55 participants
ALA 1000 SecondsEdema at Visit 5 (Week 6 - Post Light Treatment)Grade 2 (moderate)0 participants
ALA 1000 SecondsEdema at Visit 5 (Week 6 - Post Light Treatment)Grade 1 (minimal)3 participants
ALA 500 SecondsEdema at Visit 5 (Week 6 - Post Light Treatment)Grade 0 (none)61 participants
ALA 500 SecondsEdema at Visit 5 (Week 6 - Post Light Treatment)Grade 2 (moderate)0 participants
ALA 500 SecondsEdema at Visit 5 (Week 6 - Post Light Treatment)Grade 1 (minimal)0 participants
Vehicle 1000 SecondsEdema at Visit 5 (Week 6 - Post Light Treatment)Grade 1 (minimal)3 participants
Vehicle 1000 SecondsEdema at Visit 5 (Week 6 - Post Light Treatment)Grade 0 (none)57 participants
Vehicle 1000 SecondsEdema at Visit 5 (Week 6 - Post Light Treatment)Grade 2 (moderate)0 participants
Vehicle 500 SecondsEdema at Visit 5 (Week 6 - Post Light Treatment)Grade 0 (none)62 participants
Vehicle 500 SecondsEdema at Visit 5 (Week 6 - Post Light Treatment)Grade 2 (moderate)0 participants
Vehicle 500 SecondsEdema at Visit 5 (Week 6 - Post Light Treatment)Grade 1 (minimal)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Edema at Visit 5 (Week 6 - Pre Light Treatment)

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Time frame: Visit 5 (Week 6 - pre light treatment)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsEdema at Visit 5 (Week 6 - Pre Light Treatment)Grade 0 (none)56 participants
ALA 1000 SecondsEdema at Visit 5 (Week 6 - Pre Light Treatment)Grade 2 (mild)0 participants
ALA 1000 SecondsEdema at Visit 5 (Week 6 - Pre Light Treatment)Grade 1 (minimal)2 participants
ALA 500 SecondsEdema at Visit 5 (Week 6 - Pre Light Treatment)Grade 0 (none)61 participants
ALA 500 SecondsEdema at Visit 5 (Week 6 - Pre Light Treatment)Grade 2 (mild)0 participants
ALA 500 SecondsEdema at Visit 5 (Week 6 - Pre Light Treatment)Grade 1 (minimal)0 participants
Vehicle 1000 SecondsEdema at Visit 5 (Week 6 - Pre Light Treatment)Grade 1 (minimal)1 participants
Vehicle 1000 SecondsEdema at Visit 5 (Week 6 - Pre Light Treatment)Grade 0 (none)59 participants
Vehicle 1000 SecondsEdema at Visit 5 (Week 6 - Pre Light Treatment)Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Visit 5 (Week 6 - Pre Light Treatment)Grade 0 (none)61 participants
Vehicle 500 SecondsEdema at Visit 5 (Week 6 - Pre Light Treatment)Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Visit 5 (Week 6 - Pre Light Treatment)Grade 1 (minimal)1 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Edema at Visit 7 (Week 9 - Before Study Drug Application)

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Time frame: Visit 7 (Week 9 - before study drug application)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsEdema at Visit 7 (Week 9 - Before Study Drug Application)Grade 0 (none)60 participants
ALA 1000 SecondsEdema at Visit 7 (Week 9 - Before Study Drug Application)Grade 2 (mild)0 participants
ALA 1000 SecondsEdema at Visit 7 (Week 9 - Before Study Drug Application)Grade 1 (minimal)3 participants
ALA 500 SecondsEdema at Visit 7 (Week 9 - Before Study Drug Application)Grade 0 (none)62 participants
ALA 500 SecondsEdema at Visit 7 (Week 9 - Before Study Drug Application)Grade 2 (mild)0 participants
ALA 500 SecondsEdema at Visit 7 (Week 9 - Before Study Drug Application)Grade 1 (minimal)0 participants
Vehicle 1000 SecondsEdema at Visit 7 (Week 9 - Before Study Drug Application)Grade 1 (minimal)1 participants
Vehicle 1000 SecondsEdema at Visit 7 (Week 9 - Before Study Drug Application)Grade 0 (none)56 participants
Vehicle 1000 SecondsEdema at Visit 7 (Week 9 - Before Study Drug Application)Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Visit 7 (Week 9 - Before Study Drug Application)Grade 0 (none)65 participants
Vehicle 500 SecondsEdema at Visit 7 (Week 9 - Before Study Drug Application)Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Visit 7 (Week 9 - Before Study Drug Application)Grade 1 (minimal)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Edema at Visit 7 (Week 9 - Post Light Treatment)

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Time frame: Visit 7 (Week 9 - post light treatment)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsEdema at Visit 7 (Week 9 - Post Light Treatment)Grade 0 (none)53 participants
ALA 1000 SecondsEdema at Visit 7 (Week 9 - Post Light Treatment)Grade 2 (mild)0 participants
ALA 1000 SecondsEdema at Visit 7 (Week 9 - Post Light Treatment)Grade 1 (minimal)3 participants
ALA 500 SecondsEdema at Visit 7 (Week 9 - Post Light Treatment)Grade 0 (none)59 participants
ALA 500 SecondsEdema at Visit 7 (Week 9 - Post Light Treatment)Grade 2 (mild)0 participants
ALA 500 SecondsEdema at Visit 7 (Week 9 - Post Light Treatment)Grade 1 (minimal)1 participants
Vehicle 1000 SecondsEdema at Visit 7 (Week 9 - Post Light Treatment)Grade 1 (minimal)1 participants
Vehicle 1000 SecondsEdema at Visit 7 (Week 9 - Post Light Treatment)Grade 0 (none)55 participants
Vehicle 1000 SecondsEdema at Visit 7 (Week 9 - Post Light Treatment)Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Visit 7 (Week 9 - Post Light Treatment)Grade 0 (none)61 participants
Vehicle 500 SecondsEdema at Visit 7 (Week 9 - Post Light Treatment)Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Visit 7 (Week 9 - Post Light Treatment)Grade 1 (minimal)1 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Edema at Visit 7 (Week 9 - Prior to Light Treatment)

EDEMA SCALE Grade 0 = None Grade 1 = Minimal - scant, rare edema Grade 2 = Mild - easily seen edema, minimally palpable, involving up to 1/3 of the treatment area Grade 3 = Moderate - easily seen edema and typically palpable, involving between 1/3 to 2/3 of the treatment area Grade 4 = Severe - easily seen edema, indurated in some areas, involving over 2/3 of the treatment area

Time frame: Visit 7 (Week 9 - prior to light treatment)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsEdema at Visit 7 (Week 9 - Prior to Light Treatment)Grade 0 (none)53 participants
ALA 1000 SecondsEdema at Visit 7 (Week 9 - Prior to Light Treatment)Grade 2 (mild)0 participants
ALA 1000 SecondsEdema at Visit 7 (Week 9 - Prior to Light Treatment)Grade 1 (minimal)3 participants
ALA 500 SecondsEdema at Visit 7 (Week 9 - Prior to Light Treatment)Grade 0 (none)59 participants
ALA 500 SecondsEdema at Visit 7 (Week 9 - Prior to Light Treatment)Grade 2 (mild)0 participants
ALA 500 SecondsEdema at Visit 7 (Week 9 - Prior to Light Treatment)Grade 1 (minimal)1 participants
Vehicle 1000 SecondsEdema at Visit 7 (Week 9 - Prior to Light Treatment)Grade 1 (minimal)0 participants
Vehicle 1000 SecondsEdema at Visit 7 (Week 9 - Prior to Light Treatment)Grade 0 (none)56 participants
Vehicle 1000 SecondsEdema at Visit 7 (Week 9 - Prior to Light Treatment)Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Visit 7 (Week 9 - Prior to Light Treatment)Grade 0 (none)62 participants
Vehicle 500 SecondsEdema at Visit 7 (Week 9 - Prior to Light Treatment)Grade 2 (mild)0 participants
Vehicle 500 SecondsEdema at Visit 7 (Week 9 - Prior to Light Treatment)Grade 1 (minimal)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Erythema 3 Weeks After Final PDT

Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Time frame: 3 Weeks after Final PDT

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsErythema 3 Weeks After Final PDTGrade 2 (mild)5 participants
ALA 1000 SecondsErythema 3 Weeks After Final PDTGrade 4 (severe)0 participants
ALA 1000 SecondsErythema 3 Weeks After Final PDTGrade 1 (minimal)21 participants
ALA 1000 SecondsErythema 3 Weeks After Final PDTGrade 0 (none)36 participants
ALA 1000 SecondsErythema 3 Weeks After Final PDTGrade 3 (moderate)0 participants
ALA 500 SecondsErythema 3 Weeks After Final PDTGrade 0 (none)35 participants
ALA 500 SecondsErythema 3 Weeks After Final PDTGrade 3 (moderate)0 participants
ALA 500 SecondsErythema 3 Weeks After Final PDTGrade 2 (mild)8 participants
ALA 500 SecondsErythema 3 Weeks After Final PDTGrade 4 (severe)0 participants
ALA 500 SecondsErythema 3 Weeks After Final PDTGrade 1 (minimal)18 participants
Vehicle 1000 SecondsErythema 3 Weeks After Final PDTGrade 0 (none)32 participants
Vehicle 1000 SecondsErythema 3 Weeks After Final PDTGrade 1 (minimal)21 participants
Vehicle 1000 SecondsErythema 3 Weeks After Final PDTGrade 2 (mild)4 participants
Vehicle 1000 SecondsErythema 3 Weeks After Final PDTGrade 3 (moderate)0 participants
Vehicle 1000 SecondsErythema 3 Weeks After Final PDTGrade 4 (severe)0 participants
Vehicle 500 SecondsErythema 3 Weeks After Final PDTGrade 3 (moderate)0 participants
Vehicle 500 SecondsErythema 3 Weeks After Final PDTGrade 0 (none)42 participants
Vehicle 500 SecondsErythema 3 Weeks After Final PDTGrade 1 (minimal)16 participants
Vehicle 500 SecondsErythema 3 Weeks After Final PDTGrade 2 (mild)5 participants
Vehicle 500 SecondsErythema 3 Weeks After Final PDTGrade 4 (severe)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.548Cochran-Mantel-Haenszel
Secondary

Erythema 48 Hours After PDT #1

Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Time frame: 48 hours after PDT #1

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsErythema 48 Hours After PDT #1Grade 1 (minimal)24 participants
ALA 1000 SecondsErythema 48 Hours After PDT #1Grade 3 (moderate)10 participants
ALA 1000 SecondsErythema 48 Hours After PDT #1Grade 0 (none)19 participants
ALA 1000 SecondsErythema 48 Hours After PDT #1Grade 2 (mild)14 participants
ALA 1000 SecondsErythema 48 Hours After PDT #1Grade 4 (severe)1 participants
ALA 500 SecondsErythema 48 Hours After PDT #1Grade 3 (moderate)3 participants
ALA 500 SecondsErythema 48 Hours After PDT #1Grade 1 (minimal)21 participants
ALA 500 SecondsErythema 48 Hours After PDT #1Grade 4 (severe)2 participants
ALA 500 SecondsErythema 48 Hours After PDT #1Grade 0 (none)16 participants
ALA 500 SecondsErythema 48 Hours After PDT #1Grade 2 (mild)23 participants
Vehicle 1000 SecondsErythema 48 Hours After PDT #1Grade 3 (moderate)1 participants
Vehicle 1000 SecondsErythema 48 Hours After PDT #1Grade 1 (minimal)25 participants
Vehicle 1000 SecondsErythema 48 Hours After PDT #1Grade 4 (severe)0 participants
Vehicle 1000 SecondsErythema 48 Hours After PDT #1Grade 0 (none)34 participants
Vehicle 1000 SecondsErythema 48 Hours After PDT #1Grade 2 (mild)6 participants
Vehicle 500 SecondsErythema 48 Hours After PDT #1Grade 3 (moderate)0 participants
Vehicle 500 SecondsErythema 48 Hours After PDT #1Grade 2 (mild)7 participants
Vehicle 500 SecondsErythema 48 Hours After PDT #1Grade 4 (severe)0 participants
Vehicle 500 SecondsErythema 48 Hours After PDT #1Grade 1 (minimal)30 participants
Vehicle 500 SecondsErythema 48 Hours After PDT #1Grade 0 (none)29 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: <0.0001Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.4143Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0005Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0003Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: <0.0001Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: <0.0001Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.97Cochran-Mantel-Haenszel
Secondary

Erythema 6 Weeks After Final PDT

Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Time frame: 6 Weeks after Final PDT

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsErythema 6 Weeks After Final PDTGrade 2 (mild)3 participants
ALA 1000 SecondsErythema 6 Weeks After Final PDTGrade 3 (moderate)0 participants
ALA 1000 SecondsErythema 6 Weeks After Final PDTGrade 4 (severe)0 participants
ALA 1000 SecondsErythema 6 Weeks After Final PDTGrade 1 (minimal)21 participants
ALA 1000 SecondsErythema 6 Weeks After Final PDTGrade 0 (none)39 participants
ALA 500 SecondsErythema 6 Weeks After Final PDTGrade 1 (minimal)20 participants
ALA 500 SecondsErythema 6 Weeks After Final PDTGrade 2 (mild)9 participants
ALA 500 SecondsErythema 6 Weeks After Final PDTGrade 3 (moderate)0 participants
ALA 500 SecondsErythema 6 Weeks After Final PDTGrade 0 (none)33 participants
ALA 500 SecondsErythema 6 Weeks After Final PDTGrade 4 (severe)0 participants
Vehicle 1000 SecondsErythema 6 Weeks After Final PDTGrade 2 (mild)5 participants
Vehicle 1000 SecondsErythema 6 Weeks After Final PDTGrade 0 (none)30 participants
Vehicle 1000 SecondsErythema 6 Weeks After Final PDTGrade 1 (minimal)22 participants
Vehicle 1000 SecondsErythema 6 Weeks After Final PDTGrade 3 (moderate)0 participants
Vehicle 1000 SecondsErythema 6 Weeks After Final PDTGrade 4 (severe)0 participants
Vehicle 500 SecondsErythema 6 Weeks After Final PDTGrade 3 (moderate)0 participants
Vehicle 500 SecondsErythema 6 Weeks After Final PDTGrade 0 (none)43 participants
Vehicle 500 SecondsErythema 6 Weeks After Final PDTGrade 2 (mild)1 participants
Vehicle 500 SecondsErythema 6 Weeks After Final PDTGrade 1 (minimal)20 participants
Vehicle 500 SecondsErythema 6 Weeks After Final PDTGrade 4 (severe)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0301Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0564Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.447Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.2804Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.1835Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0103Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.1319Cochran-Mantel-Haenszel
Secondary

Erythema at Baseline - Post Light Treatment

Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Time frame: Baseline - post light treatment

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsErythema at Baseline - Post Light TreatmentGrade 2 (mild)26 participants
ALA 1000 SecondsErythema at Baseline - Post Light TreatmentGrade 1 (minimal)23 participants
ALA 1000 SecondsErythema at Baseline - Post Light TreatmentGrade 0 (none)16 participants
ALA 1000 SecondsErythema at Baseline - Post Light TreatmentGrade 3 (moderate)3 participants
ALA 1000 SecondsErythema at Baseline - Post Light TreatmentGrade 4 (severe)0 participants
ALA 500 SecondsErythema at Baseline - Post Light TreatmentGrade 3 (moderate)7 participants
ALA 500 SecondsErythema at Baseline - Post Light TreatmentGrade 0 (none)18 participants
ALA 500 SecondsErythema at Baseline - Post Light TreatmentGrade 1 (minimal)24 participants
ALA 500 SecondsErythema at Baseline - Post Light TreatmentGrade 2 (mild)16 participants
ALA 500 SecondsErythema at Baseline - Post Light TreatmentGrade 4 (severe)0 participants
Vehicle 1000 SecondsErythema at Baseline - Post Light TreatmentGrade 2 (mild)22 participants
Vehicle 1000 SecondsErythema at Baseline - Post Light TreatmentGrade 0 (none)22 participants
Vehicle 1000 SecondsErythema at Baseline - Post Light TreatmentGrade 4 (severe)0 participants
Vehicle 1000 SecondsErythema at Baseline - Post Light TreatmentGrade 1 (minimal)19 participants
Vehicle 1000 SecondsErythema at Baseline - Post Light TreatmentGrade 3 (moderate)4 participants
Vehicle 500 SecondsErythema at Baseline - Post Light TreatmentGrade 1 (minimal)27 participants
Vehicle 500 SecondsErythema at Baseline - Post Light TreatmentGrade 2 (mild)15 participants
Vehicle 500 SecondsErythema at Baseline - Post Light TreatmentGrade 3 (moderate)3 participants
Vehicle 500 SecondsErythema at Baseline - Post Light TreatmentGrade 4 (severe)0 participants
Vehicle 500 SecondsErythema at Baseline - Post Light TreatmentGrade 0 (none)21 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.1489Cochran-Mantel-Haenszel
Secondary

Erythema at Baseline (Pre-light)

After solution application, prior to light treatment Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Time frame: Baseline (pre-light)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsErythema at Baseline (Pre-light)Grade 3 (moderate)2 participants
ALA 1000 SecondsErythema at Baseline (Pre-light)Grade 1 (minimal)24 participants
ALA 1000 SecondsErythema at Baseline (Pre-light)Grade 4 (severe)0 participants
ALA 1000 SecondsErythema at Baseline (Pre-light)Grade 2 (mild)13 participants
ALA 1000 SecondsErythema at Baseline (Pre-light)Grade 0 (none)29 participants
ALA 500 SecondsErythema at Baseline (Pre-light)Grade 2 (mild)13 participants
ALA 500 SecondsErythema at Baseline (Pre-light)Grade 3 (moderate)1 participants
ALA 500 SecondsErythema at Baseline (Pre-light)Grade 4 (severe)0 participants
ALA 500 SecondsErythema at Baseline (Pre-light)Grade 1 (minimal)20 participants
ALA 500 SecondsErythema at Baseline (Pre-light)Grade 0 (none)31 participants
Vehicle 1000 SecondsErythema at Baseline (Pre-light)Grade 2 (mild)12 participants
Vehicle 1000 SecondsErythema at Baseline (Pre-light)Grade 0 (none)35 participants
Vehicle 1000 SecondsErythema at Baseline (Pre-light)Grade 1 (minimal)19 participants
Vehicle 1000 SecondsErythema at Baseline (Pre-light)Grade 3 (moderate)1 participants
Vehicle 1000 SecondsErythema at Baseline (Pre-light)Grade 4 (severe)0 participants
Vehicle 500 SecondsErythema at Baseline (Pre-light)Grade 3 (moderate)0 participants
Vehicle 500 SecondsErythema at Baseline (Pre-light)Grade 1 (minimal)25 participants
Vehicle 500 SecondsErythema at Baseline (Pre-light)Grade 0 (none)29 participants
Vehicle 500 SecondsErythema at Baseline (Pre-light)Grade 2 (mild)12 participants
Vehicle 500 SecondsErythema at Baseline (Pre-light)Grade 4 (severe)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.8387Cochran-Mantel-Haenszel
Secondary

Erythema at Visit 3 (Week 3 - Post Light Treatment)

Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Time frame: Visit 3 (Week 3 - post light treatment)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 3 (moderate)4 participants
ALA 1000 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 1 (minimal)28 participants
ALA 1000 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 4 (severe)0 participants
ALA 1000 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 2 (mild)17 participants
ALA 1000 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 0 (none)13 participants
ALA 500 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 2 (mild)18 participants
ALA 500 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 3 (moderate)6 participants
ALA 500 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 4 (severe)1 participants
ALA 500 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 1 (minimal)20 participants
ALA 500 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 0 (none)16 participants
Vehicle 1000 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 2 (mild)13 participants
Vehicle 1000 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 0 (none)18 participants
Vehicle 1000 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 1 (minimal)30 participants
Vehicle 1000 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 3 (moderate)1 participants
Vehicle 1000 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 4 (severe)0 participants
Vehicle 500 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 3 (moderate)2 participants
Vehicle 500 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 1 (minimal)23 participants
Vehicle 500 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 0 (none)21 participants
Vehicle 500 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 2 (mild)19 participants
Vehicle 500 SecondsErythema at Visit 3 (Week 3 - Post Light Treatment)Grade 4 (severe)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0317Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.5818Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0395Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.7426Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0029Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.2142Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0781Cochran-Mantel-Haenszel
Secondary

Erythema at Visit 3 (Week 3 - Pre-light)

Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Time frame: Visit 3 (Week 3 - pre-light)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 0 (none)27 participants
ALA 1000 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 4 (severe)0 participants
ALA 1000 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 1 (minimal)24 participants
ALA 1000 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 3 (moderate)0 participants
ALA 1000 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 2 (mild)11 participants
ALA 500 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 3 (moderate)1 participants
ALA 500 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 4 (severe)0 participants
ALA 500 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 0 (none)30 participants
ALA 500 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 1 (minimal)18 participants
ALA 500 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 2 (mild)12 participants
Vehicle 1000 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 4 (severe)0 participants
Vehicle 1000 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 3 (moderate)1 participants
Vehicle 1000 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 2 (mild)7 participants
Vehicle 1000 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 1 (minimal)27 participants
Vehicle 1000 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 0 (none)27 participants
Vehicle 500 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 4 (severe)0 participants
Vehicle 500 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 3 (moderate)1 participants
Vehicle 500 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 0 (none)32 participants
Vehicle 500 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 1 (minimal)20 participants
Vehicle 500 SecondsErythema at Visit 3 (Week 3 - Pre-light)Grade 2 (mild)12 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.4321Cochran-Mantel-Haenszel
Secondary

Erythema at Visit 3 (Week 3 - Pre Study Drug Application)

Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Time frame: Visit 3 (Week 3 - pre study drug application)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 3 (moderate)0 participants
ALA 1000 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 1 (minimal)20 participants
ALA 1000 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 2 (mild)8 participants
ALA 1000 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 4 (severe)0 participants
ALA 1000 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 0 (none)36 participants
ALA 500 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 2 (mild)11 participants
ALA 500 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 0 (none)35 participants
ALA 500 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 3 (moderate)0 participants
ALA 500 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 1 (minimal)16 participants
ALA 500 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 4 (severe)0 participants
Vehicle 1000 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 1 (minimal)23 participants
Vehicle 1000 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 4 (severe)0 participants
Vehicle 1000 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 2 (mild)5 participants
Vehicle 1000 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 0 (none)34 participants
Vehicle 1000 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 3 (moderate)0 participants
Vehicle 500 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 4 (severe)0 participants
Vehicle 500 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 0 (none)34 participants
Vehicle 500 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 2 (mild)9 participants
Vehicle 500 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 3 (moderate)0 participants
Vehicle 500 SecondsErythema at Visit 3 (Week 3 - Pre Study Drug Application)Grade 1 (minimal)23 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.2544Cochran-Mantel-Haenszel
Secondary

Erythema at Visit 5 (Week 6 - Post Light Treatment)

Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Time frame: Visit 5 (Week 6 - post light treatment)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 2 (mild)19 participants
ALA 1000 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 3 (moderate)4 participants
ALA 1000 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 0 (none)18 participants
ALA 1000 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 1 (minimal)16 participants
ALA 1000 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 4 (severe)1 participants
ALA 500 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 2 (mild)24 participants
ALA 500 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 3 (moderate)6 participants
ALA 500 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 1 (minimal)18 participants
ALA 500 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 0 (none)13 participants
ALA 500 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 4 (severe)0 participants
Vehicle 1000 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 2 (mild)15 participants
Vehicle 1000 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 0 (none)15 participants
Vehicle 1000 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 1 (minimal)28 participants
Vehicle 1000 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 3 (moderate)2 participants
Vehicle 1000 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 4 (severe)0 participants
Vehicle 500 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 3 (moderate)2 participants
Vehicle 500 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 1 (minimal)24 participants
Vehicle 500 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 0 (none)19 participants
Vehicle 500 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 2 (mild)17 participants
Vehicle 500 SecondsErythema at Visit 5 (Week 6 - Post Light Treatment)Grade 4 (severe)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0047Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.6116Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0209Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0513Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0019Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0089Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.526Cochran-Mantel-Haenszel
Secondary

Erythema at Visit 5 (Week 6 - Prior to Study Drug Application)

Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Time frame: Visit 5 (Week 6 - prior to study drug application)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 2 (mild)6 participants
ALA 1000 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 1 (minimal)20 participants
ALA 1000 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 3 (moderate)0 participants
ALA 1000 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 4 (severe)0 participants
ALA 1000 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 0 (none)36 participants
ALA 500 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 3 (moderate)0 participants
ALA 500 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 1 (minimal)21 participants
ALA 500 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 2 (mild)7 participants
ALA 500 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 4 (severe)0 participants
ALA 500 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 0 (none)35 participants
Vehicle 1000 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 2 (mild)7 participants
Vehicle 1000 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 3 (moderate)0 participants
Vehicle 1000 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 1 (minimal)22 participants
Vehicle 1000 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 0 (none)31 participants
Vehicle 1000 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 4 (severe)0 participants
Vehicle 500 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 1 (minimal)23 participants
Vehicle 500 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 4 (severe)0 participants
Vehicle 500 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 3 (moderate)0 participants
Vehicle 500 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 0 (none)34 participants
Vehicle 500 SecondsErythema at Visit 5 (Week 6 - Prior to Study Drug Application)Grade 2 (mild)6 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.9886Cochran-Mantel-Haenszel
Secondary

Erythema at Visit 5 (Weeks 6 - Pre-light Treatment)

Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Time frame: Visit 5 (Weeks 6 - pre-light treatment)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 2 (mild)9 participants
ALA 1000 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 4 (severe)0 participants
ALA 1000 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 0 (none)27 participants
ALA 1000 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 3 (moderate)0 participants
ALA 1000 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 1 (minimal)22 participants
ALA 500 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 2 (mild)12 participants
ALA 500 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 1 (minimal)28 participants
ALA 500 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 4 (severe)0 participants
ALA 500 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 0 (none)20 participants
ALA 500 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 3 (moderate)1 participants
Vehicle 1000 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 1 (minimal)29 participants
Vehicle 1000 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 4 (severe)0 participants
Vehicle 1000 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 3 (moderate)0 participants
Vehicle 1000 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 2 (mild)9 participants
Vehicle 1000 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 0 (none)22 participants
Vehicle 500 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 4 (severe)0 participants
Vehicle 500 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 0 (none)29 participants
Vehicle 500 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 1 (minimal)21 participants
Vehicle 500 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 2 (mild)11 participants
Vehicle 500 SecondsErythema at Visit 5 (Weeks 6 - Pre-light Treatment)Grade 3 (moderate)1 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.6907Cochran-Mantel-Haenszel
Secondary

Erythema at Visit 7 (Week 9 - Post Light Treatment)

Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Time frame: Visit 7 (Week 9 - post light treatment)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 3 (moderate)1 participant
ALA 1000 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 1 (minimal)13 participant
ALA 1000 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 4 (severe)0 participant
ALA 1000 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 2 (mild)22 participant
ALA 1000 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 0 (none)20 participant
ALA 500 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 2 (mild)21 participant
ALA 500 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 3 (moderate)7 participant
ALA 500 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 4 (severe)0 participant
ALA 500 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 1 (minimal)18 participant
ALA 500 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 0 (none)14 participant
Vehicle 1000 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 2 (mild)15 participant
Vehicle 1000 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 0 (none)20 participant
Vehicle 1000 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 1 (minimal)19 participant
Vehicle 1000 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 3 (moderate)2 participant
Vehicle 1000 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 4 (severe)0 participant
Vehicle 500 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 3 (moderate)2 participant
Vehicle 500 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 1 (minimal)23 participant
Vehicle 500 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 0 (none)18 participant
Vehicle 500 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 2 (mild)19 participant
Vehicle 500 SecondsErythema at Visit 7 (Week 9 - Post Light Treatment)Grade 4 (severe)0 participant
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0728Cochran-Mantel-Haenszel
Secondary

Erythema at Visit 7 (Week 9 - Pre Light Treatment)

Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Time frame: Visit 7 (Week 9 - pre light treatment)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 3 (moderate)1 participants
ALA 1000 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 1 (minimal)16 participants
ALA 1000 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 4 (severe)0 participants
ALA 1000 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 2 (mild)11 participants
ALA 1000 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 0 (none)28 participants
ALA 500 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 2 (mild)8 participants
ALA 500 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 3 (moderate)2 participants
ALA 500 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 4 (severe)0 participants
ALA 500 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 1 (minimal)24 participants
ALA 500 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 0 (none)26 participants
Vehicle 1000 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 2 (mild)11 participants
Vehicle 1000 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 0 (none)28 participants
Vehicle 1000 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 1 (minimal)16 participants
Vehicle 1000 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 3 (moderate)1 participants
Vehicle 1000 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 4 (severe)0 participants
Vehicle 500 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 3 (moderate)1 participants
Vehicle 500 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 1 (minimal)21 participants
Vehicle 500 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 0 (none)33 participants
Vehicle 500 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 2 (mild)7 participants
Vehicle 500 SecondsErythema at Visit 7 (Week 9 - Pre Light Treatment)Grade 4 (severe)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.4965Cochran-Mantel-Haenszel
Secondary

Erythema at Visit 7 (Week 9 - Prior to Study Drug Application)

Grade 0 = None Grade 1 = Minimal - barely perceptible erythema Grade 2 = Mild - predominantly minimal erythema (pink) in the treated area with or without a few isolated areas of more intense erythema Grade 3 = Moderate - predominantly moderate erythema (red) in the treated area with or without a few isolated areas of intense erythema (bright red) Grade 4 = Severe - predominantly intense erythema (bright red) in the treated area with or without a few isolated areas of very intense (fiery red) erythema

Time frame: Visit 7 (Week 9 - prior to study drug application)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 3 (moderate)0 participants
ALA 1000 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 1 (minimal)23 participants
ALA 1000 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 4 (severe)0 participants
ALA 1000 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 2 (mild)3 participants
ALA 1000 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 0 (none)37 participants
ALA 500 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 2 (mild)6 participants
ALA 500 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 3 (moderate)0 participants
ALA 500 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 4 (severe)0 participants
ALA 500 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 1 (minimal)22 participants
ALA 500 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 0 (none)34 participants
Vehicle 1000 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 2 (mild)4 participants
Vehicle 1000 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 0 (none)31 participants
Vehicle 1000 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 1 (minimal)22 participants
Vehicle 1000 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 3 (moderate)0 participants
Vehicle 1000 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 4 (severe)0 participants
Vehicle 500 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 3 (moderate)0 participants
Vehicle 500 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 1 (minimal)25 participants
Vehicle 500 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 0 (none)36 participants
Vehicle 500 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 2 (mild)4 participants
Vehicle 500 SecondsErythema at Visit 7 (Week 9 - Prior to Study Drug Application)Grade 4 (severe)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.782Cochran-Mantel-Haenszel
Secondary

Hyperpigmentation 48 Hours After PDT #1

HYPERPIGMENTATION SCALE Grade 0 = No hyperpigmentation Grade 1 = Light hyperpigmentation involving small areas Grade 2 = Moderate hyperpigmentation involving small areas; light hyperpigmentation involving moderate areas Grade 3 = Moderate hyperpigmentation involving moderate sized areas; light hyperpigmentation involving large areas; small areas of marked hyperpigmentation Grade 4 = Marked hyperpigmentation involving moderate or large sized areas

Time frame: 48 hours after PDT #1

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsHyperpigmentation 48 Hours After PDT #1Grade 4 (marked)0 participants
ALA 1000 SecondsHyperpigmentation 48 Hours After PDT #1Grade 3 (moderate - mod)1 participants
ALA 1000 SecondsHyperpigmentation 48 Hours After PDT #1Grade 1 (light)14 participants
ALA 1000 SecondsHyperpigmentation 48 Hours After PDT #1Grade 2 (moderate - small)4 participants
ALA 1000 SecondsHyperpigmentation 48 Hours After PDT #1Grade 0 (none)49 participants
ALA 500 SecondsHyperpigmentation 48 Hours After PDT #1Grade 0 (none)49 participants
ALA 500 SecondsHyperpigmentation 48 Hours After PDT #1Grade 4 (marked)1 participants
ALA 500 SecondsHyperpigmentation 48 Hours After PDT #1Grade 3 (moderate - mod)0 participants
ALA 500 SecondsHyperpigmentation 48 Hours After PDT #1Grade 2 (moderate - small)1 participants
ALA 500 SecondsHyperpigmentation 48 Hours After PDT #1Grade 1 (light)14 participants
Vehicle 1000 SecondsHyperpigmentation 48 Hours After PDT #1Grade 0 (none)49 participants
Vehicle 1000 SecondsHyperpigmentation 48 Hours After PDT #1Grade 1 (light)10 participants
Vehicle 1000 SecondsHyperpigmentation 48 Hours After PDT #1Grade 2 (moderate - small)7 participants
Vehicle 1000 SecondsHyperpigmentation 48 Hours After PDT #1Grade 3 (moderate - mod)0 participants
Vehicle 1000 SecondsHyperpigmentation 48 Hours After PDT #1Grade 4 (marked)0 participants
Vehicle 500 SecondsHyperpigmentation 48 Hours After PDT #1Grade 2 (moderate - small)3 participants
Vehicle 500 SecondsHyperpigmentation 48 Hours After PDT #1Grade 1 (light)7 participants
Vehicle 500 SecondsHyperpigmentation 48 Hours After PDT #1Grade 0 (none)53 participants
Vehicle 500 SecondsHyperpigmentation 48 Hours After PDT #1Grade 4 (marked)0 participants
Vehicle 500 SecondsHyperpigmentation 48 Hours After PDT #1Grade 3 (moderate - mod)3 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response ratesp-value: 0.3416Cochran-Mantel-Haenszel
Secondary

Hyperpigmentation at Visit 10 (6 Weeks After Final PDT)

HYPERPIGMENTATION SCALE Grade 0 = No hyperpigmentation Grade 1 = Light hyperpigmentation involving small areas Grade 2 = Moderate hyperpigmentation involving small areas; light hyperpigmentation involving moderate areas Grade 3 = Moderate hyperpigmentation involving moderate sized areas; light hyperpigmentation involving large areas; small areas of marked hyperpigmentation Grade 4 = Marked hyperpigmentation involving moderate or large sized areas

Time frame: Visit 10 (6 weeks after final PDT)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)48 participants
ALA 1000 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 3 (moderate - mod)2 participants
ALA 1000 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 4 (marked)0 participants
ALA 1000 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 1 (light)12 participants
ALA 1000 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 2 (moderate - small)1 participants
ALA 500 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 1 (light)9 participants
ALA 500 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 3 (moderate - mod)1 participants
ALA 500 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 2 (moderate - small)2 participants
ALA 500 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 4 (marked)0 participants
ALA 500 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)50 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 4 (marked)0 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)46 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 1 (light)7 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 2 (moderate - small)4 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 3 (moderate - mod)0 participants
Vehicle 500 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)50 participants
Vehicle 500 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 3 (moderate - mod)1 participants
Vehicle 500 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 4 (marked)0 participants
Vehicle 500 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 2 (moderate - small)3 participants
Vehicle 500 SecondsHyperpigmentation at Visit 10 (6 Weeks After Final PDT)Grade 1 (light)10 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.8679Cochran-Mantel-Haenszel
Secondary

Hyperpigmentation at Visit 3 (Week 3)

HYPERPIGMENTATION SCALE Grade 0 = No hyperpigmentation Grade 1 = Light hyperpigmentation involving small areas Grade 2 = Moderate hyperpigmentation involving small areas; light hyperpigmentation involving moderate areas Grade 3 = Moderate hyperpigmentation involving moderate sized areas; light hyperpigmentation involving large areas; small areas of marked hyperpigmentation Grade 4 = Marked hyperpigmentation involving moderate or large sized areas

Time frame: Visit 3 (Week 3)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 3 (moderate - mod)1 participants
ALA 1000 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 0 (none)49 participants
ALA 1000 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 1 (light)10 participants
ALA 1000 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 2 (moderate - small)4 participants
ALA 1000 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 4 (marked)0 participants
ALA 500 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 2 (moderate - small)2 participants
ALA 500 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 4 (marked)0 participants
ALA 500 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 1 (light)10 participants
ALA 500 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 0 (none)50 participants
ALA 500 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 3 (moderate - mod)0 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 0 (none)48 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 4 (marked)0 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 2 (moderate - small)4 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 1 (light)10 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 3 (moderate - mod)0 participants
Vehicle 500 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 4 (marked)0 participants
Vehicle 500 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 0 (none)52 participants
Vehicle 500 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 1 (light)8 participants
Vehicle 500 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 3 (moderate - mod)2 participants
Vehicle 500 SecondsHyperpigmentation at Visit 3 (Week 3)Grade 2 (moderate - small)4 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.5759Cochran-Mantel-Haenszel
Secondary

Hyperpigmentation at Visit 5 (Week 6)

HYPERPIGMENTATION SCALE Grade 0 = No hyperpigmentation Grade 1 = Light hyperpigmentation involving small areas Grade 2 = Moderate hyperpigmentation involving small areas; light hyperpigmentation involving moderate areas Grade 3 = Moderate hyperpigmentation involving moderate sized areas; light hyperpigmentation involving large areas; small areas of marked hyperpigmentation Grade 4 = Marked hyperpigmentation involving moderate or large sized areas

Time frame: Visit 5 (Week 6)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 1 (light)13 participants
ALA 1000 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 4 (marked)0 participants
ALA 1000 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 0 (none)44 participants
ALA 1000 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 3 (moderate - mod)2 participants
ALA 1000 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 2 (moderate - small)3 participants
ALA 500 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 0 (none)51 participants
ALA 500 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 1 (light)9 participants
ALA 500 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 2 (moderate - small)3 participants
ALA 500 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 3 (moderate - mod)0 participants
ALA 500 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 4 (marked)0 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 0 (none)46 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 2 (moderate - small)2 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 1 (light)12 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 4 (marked)0 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 3 (moderate - mod)0 participants
Vehicle 500 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 0 (none)49 participants
Vehicle 500 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 2 (moderate - small)4 participants
Vehicle 500 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 3 (moderate - mod)2 participants
Vehicle 500 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 1 (light)8 participants
Vehicle 500 SecondsHyperpigmentation at Visit 5 (Week 6)Grade 4 (marked)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.4754Cochran-Mantel-Haenszel
Secondary

Hyperpigmentation at Visit 7 (Week 9)

HYPERPIGMENTATION SCALE Grade 0 = No hyperpigmentation Grade 1 = Light hyperpigmentation involving small areas Grade 2 = Moderate hyperpigmentation involving small areas; light hyperpigmentation involving moderate areas Grade 3 = Moderate hyperpigmentation involving moderate sized areas; light hyperpigmentation involving large areas; small areas of marked hyperpigmentation Grade 4 = Marked hyperpigmentation involving moderate or large sized areas

Time frame: Visit 7 (Week 9)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 4 (marked)0 participant
ALA 1000 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 2 (moderate - small)4 participant
ALA 1000 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 3 (moderate - mod)1 participant
ALA 1000 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 0 (none)49 participant
ALA 1000 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 1 (light)9 participant
ALA 500 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 0 (none)49 participant
ALA 500 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 1 (light)11 participant
ALA 500 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 2 (moderate - small)2 participant
ALA 500 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 4 (marked)0 participant
ALA 500 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 3 (moderate - mod)0 participant
Vehicle 1000 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 4 (marked)0 participant
Vehicle 1000 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 3 (moderate - mod)0 participant
Vehicle 1000 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 2 (moderate - small)1 participant
Vehicle 1000 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 0 (none)45 participant
Vehicle 1000 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 1 (light)11 participant
Vehicle 500 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 4 (marked)0 participant
Vehicle 500 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 1 (light)10 participant
Vehicle 500 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 3 (moderate - mod)0 participant
Vehicle 500 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 2 (moderate - small)3 participant
Vehicle 500 SecondsHyperpigmentation at Visit 7 (Week 9)Grade 0 (none)52 participant
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.4096Cochran-Mantel-Haenszel
Secondary

Hyperpigmentation at Visit 9 (3 Weeks After Final PDT)

HYPERPIGMENTATION SCALE Grade 0 = No hyperpigmentation Grade 1 = Light hyperpigmentation involving small areas Grade 2 = Moderate hyperpigmentation involving small areas; light hyperpigmentation involving moderate areas Grade 3 = Moderate hyperpigmentation involving moderate sized areas; light hyperpigmentation involving large areas; small areas of marked hyperpigmentation Grade 4 = Marked hyperpigmentation involving moderate or large sized areas

Time frame: Visit 9 (3 weeks after final PDT)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 4 (marked)0 participants
ALA 1000 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 2 (moderate - small)5 participants
ALA 1000 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)45 participants
ALA 1000 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 3 (moderate - mod)0 participants
ALA 1000 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 1 (light)12 participants
ALA 500 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 4 (marked)0 participants
ALA 500 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 3 (moderate - mod)0 participants
ALA 500 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)49 participants
ALA 500 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 2 (moderate - small)2 participants
ALA 500 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 1 (light)10 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 1 (light)11 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 2 (moderate - small)3 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 3 (moderate - mod)0 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 4 (marked)0 participants
Vehicle 1000 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)43 participants
Vehicle 500 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 1 (light)7 participants
Vehicle 500 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)51 participants
Vehicle 500 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 3 (moderate - mod)0 participants
Vehicle 500 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 2 (moderate - small)5 participants
Vehicle 500 SecondsHyperpigmentation at Visit 9 (3 Weeks After Final PDT)Grade 4 (marked)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.5812Cochran-Mantel-Haenszel
Secondary

Hypopigmentation 48 Hours Post PDT #1

HYPOPIGMENTATION SCALE Grade 0 = No hypopigmentation Grade 1 = Light hypopigmentation involving small areas Grade 2 = Moderate hypopigmentation involving small areas; light hypopigmentation involving moderate areas Grade 3 = Moderate hypopigmentation involving moderate sized areas; light hypopigmentation involving large areas; small areas of marked hypopigmentation Grade 4 = Marked hypopigmentation involving moderate or large sized areas

Time frame: 48 hours post PDT #1

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsHypopigmentation 48 Hours Post PDT #1Grade 0 (none)67 participants
ALA 1000 SecondsHypopigmentation 48 Hours Post PDT #1Grade 2 (moderate - small)0 participants
ALA 1000 SecondsHypopigmentation 48 Hours Post PDT #1Grade 1 (light)1 participants
ALA 500 SecondsHypopigmentation 48 Hours Post PDT #1Grade 1 (light)1 participants
ALA 500 SecondsHypopigmentation 48 Hours Post PDT #1Grade 0 (none)64 participants
ALA 500 SecondsHypopigmentation 48 Hours Post PDT #1Grade 2 (moderate - small)0 participants
Vehicle 1000 SecondsHypopigmentation 48 Hours Post PDT #1Grade 1 (light)0 participants
Vehicle 1000 SecondsHypopigmentation 48 Hours Post PDT #1Grade 2 (moderate - small)1 participants
Vehicle 1000 SecondsHypopigmentation 48 Hours Post PDT #1Grade 0 (none)65 participants
Vehicle 500 SecondsHypopigmentation 48 Hours Post PDT #1Grade 2 (moderate - small)0 participants
Vehicle 500 SecondsHypopigmentation 48 Hours Post PDT #1Grade 1 (light)2 participants
Vehicle 500 SecondsHypopigmentation 48 Hours Post PDT #1Grade 0 (none)64 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.3666Cochran-Mantel-Haenszel
Secondary

Hypopigmentation at Visit 10 (6 Weeks After Final PDT)

HYPOPIGMENTATION SCALE Grade 0 = No hypopigmentation Grade 1 = Light hypopigmentation involving small areas Grade 2 = Moderate hypopigmentation involving small areas; light hypopigmentation involving moderate areas Grade 3 = Moderate hypopigmentation involving moderate sized areas; light hypopigmentation involving large areas; small areas of marked hypopigmentation Grade 4 = Marked hypopigmentation involving moderate or large sized areas

Time frame: Visit 10 (6 weeks after final PDT)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsHypopigmentation at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)60 participants
ALA 1000 SecondsHypopigmentation at Visit 10 (6 Weeks After Final PDT)Grade 2 (moderate - small)1 participants
ALA 1000 SecondsHypopigmentation at Visit 10 (6 Weeks After Final PDT)Grade 1 (light)2 participants
ALA 500 SecondsHypopigmentation at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)62 participants
ALA 500 SecondsHypopigmentation at Visit 10 (6 Weeks After Final PDT)Grade 2 (moderate - small)0 participants
ALA 500 SecondsHypopigmentation at Visit 10 (6 Weeks After Final PDT)Grade 1 (light)0 participants
Vehicle 1000 SecondsHypopigmentation at Visit 10 (6 Weeks After Final PDT)Grade 1 (light)0 participants
Vehicle 1000 SecondsHypopigmentation at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)57 participants
Vehicle 1000 SecondsHypopigmentation at Visit 10 (6 Weeks After Final PDT)Grade 2 (moderate - small)0 participants
Vehicle 500 SecondsHypopigmentation at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)64 participants
Vehicle 500 SecondsHypopigmentation at Visit 10 (6 Weeks After Final PDT)Grade 2 (moderate - small)0 participants
Vehicle 500 SecondsHypopigmentation at Visit 10 (6 Weeks After Final PDT)Grade 1 (light)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.3916Cochran-Mantel-Haenszel
Secondary

Hypopigmentation at Visit 3 (Week 3)

HYPOPIGMENTATION SCALE Grade 0 = No hypopigmentation Grade 1 = Light hypopigmentation involving small areas Grade 2 = Moderate hypopigmentation involving small areas; light hypopigmentation involving moderate areas Grade 3 = Moderate hypopigmentation involving moderate sized areas; light hypopigmentation involving large areas; small areas of marked hypopigmentation Grade 4 = Marked hypopigmentation involving moderate or large sized areas

Time frame: Visit 3 (Week 3)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsHypopigmentation at Visit 3 (Week 3)Grade 1 (light)2 participants
ALA 1000 SecondsHypopigmentation at Visit 3 (Week 3)Grade 2 (moderate - small)1 participants
ALA 1000 SecondsHypopigmentation at Visit 3 (Week 3)Grade 0 (none)61 participants
ALA 500 SecondsHypopigmentation at Visit 3 (Week 3)Grade 0 (none)62 participants
ALA 500 SecondsHypopigmentation at Visit 3 (Week 3)Grade 2 (moderate - small)0 participants
ALA 500 SecondsHypopigmentation at Visit 3 (Week 3)Grade 1 (light)0 participants
Vehicle 1000 SecondsHypopigmentation at Visit 3 (Week 3)Grade 1 (light)1 participants
Vehicle 1000 SecondsHypopigmentation at Visit 3 (Week 3)Grade 0 (none)61 participants
Vehicle 1000 SecondsHypopigmentation at Visit 3 (Week 3)Grade 2 (moderate - small)0 participants
Vehicle 500 SecondsHypopigmentation at Visit 3 (Week 3)Grade 0 (none)65 participants
Vehicle 500 SecondsHypopigmentation at Visit 3 (Week 3)Grade 2 (moderate - small)0 participants
Vehicle 500 SecondsHypopigmentation at Visit 3 (Week 3)Grade 1 (light)1 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.308Cochran-Mantel-Haenszel
Secondary

Hypopigmentation at Visit 5 (Week 6)

HYPOPIGMENTATION SCALE Grade 0 = No hypopigmentation Grade 1 = Light hypopigmentation involving small areas Grade 2 = Moderate hypopigmentation involving small areas; light hypopigmentation involving moderate areas Grade 3 = Moderate hypopigmentation involving moderate sized areas; light hypopigmentation involving large areas; small areas of marked hypopigmentation Grade 4 = Marked hypopigmentation involving moderate or large sized areas

Time frame: Visit 5 (Week 6)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsHypopigmentation at Visit 5 (Week 6)Grade 1 (light)3 participants
ALA 1000 SecondsHypopigmentation at Visit 5 (Week 6)Grade 2 (moderate - small)0 participants
ALA 1000 SecondsHypopigmentation at Visit 5 (Week 6)Grade 0 (none)59 participants
ALA 500 SecondsHypopigmentation at Visit 5 (Week 6)Grade 2 (moderate - small)0 participants
ALA 500 SecondsHypopigmentation at Visit 5 (Week 6)Grade 0 (none)63 participants
ALA 500 SecondsHypopigmentation at Visit 5 (Week 6)Grade 1 (light)0 participants
Vehicle 1000 SecondsHypopigmentation at Visit 5 (Week 6)Grade 2 (moderate - small)0 participants
Vehicle 1000 SecondsHypopigmentation at Visit 5 (Week 6)Grade 0 (none)60 participants
Vehicle 1000 SecondsHypopigmentation at Visit 5 (Week 6)Grade 1 (light)0 participants
Vehicle 500 SecondsHypopigmentation at Visit 5 (Week 6)Grade 1 (light)0 participants
Vehicle 500 SecondsHypopigmentation at Visit 5 (Week 6)Grade 0 (none)63 participants
Vehicle 500 SecondsHypopigmentation at Visit 5 (Week 6)Grade 2 (moderate - small)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Hypopigmentation at Visit 7 (Week 9)

HYPOPIGMENTATION SCALE Grade 0 = No hypopigmentation Grade 1 = Light hypopigmentation involving small areas Grade 2 = Moderate hypopigmentation involving small areas; light hypopigmentation involving moderate areas Grade 3 = Moderate hypopigmentation involving moderate sized areas; light hypopigmentation involving large areas; small areas of marked hypopigmentation Grade 4 = Marked hypopigmentation involving moderate or large sized areas

Time frame: Visit 7 (Week 9)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsHypopigmentation at Visit 7 (Week 9)Grade 0 (none)61 participants
ALA 1000 SecondsHypopigmentation at Visit 7 (Week 9)Grade 2 (moderate - small)0 participants
ALA 1000 SecondsHypopigmentation at Visit 7 (Week 9)Grade 1 (light)2 participants
ALA 500 SecondsHypopigmentation at Visit 7 (Week 9)Grade 0 (none)62 participants
ALA 500 SecondsHypopigmentation at Visit 7 (Week 9)Grade 2 (moderate - small)0 participants
ALA 500 SecondsHypopigmentation at Visit 7 (Week 9)Grade 1 (light)0 participants
Vehicle 1000 SecondsHypopigmentation at Visit 7 (Week 9)Grade 1 (light)0 participants
Vehicle 1000 SecondsHypopigmentation at Visit 7 (Week 9)Grade 0 (none)57 participants
Vehicle 1000 SecondsHypopigmentation at Visit 7 (Week 9)Grade 2 (moderate - small)0 participants
Vehicle 500 SecondsHypopigmentation at Visit 7 (Week 9)Grade 0 (none)65 participants
Vehicle 500 SecondsHypopigmentation at Visit 7 (Week 9)Grade 2 (moderate - small)0 participants
Vehicle 500 SecondsHypopigmentation at Visit 7 (Week 9)Grade 1 (light)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Hypopigmentation at Visit 9 (3 Weeks After Final PDT)

HYPOPIGMENTATION SCALE Grade 0 = No hypopigmentation Grade 1 = Light hypopigmentation involving small areas Grade 2 = Moderate hypopigmentation involving small areas; light hypopigmentation involving moderate areas Grade 3 = Moderate hypopigmentation involving moderate sized areas; light hypopigmentation involving large areas; small areas of marked hypopigmentation Grade 4 = Marked hypopigmentation involving moderate or large sized areas

Time frame: Visit 9 (3 weeks after final PDT)

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsHypopigmentation at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)58 participants
ALA 1000 SecondsHypopigmentation at Visit 9 (3 Weeks After Final PDT)Grade 2 (moderate - small)0 participants
ALA 1000 SecondsHypopigmentation at Visit 9 (3 Weeks After Final PDT)Grade 1 (light)4 participants
ALA 500 SecondsHypopigmentation at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)61 participants
ALA 500 SecondsHypopigmentation at Visit 9 (3 Weeks After Final PDT)Grade 2 (moderate - small)0 participants
ALA 500 SecondsHypopigmentation at Visit 9 (3 Weeks After Final PDT)Grade 1 (light)0 participants
Vehicle 1000 SecondsHypopigmentation at Visit 9 (3 Weeks After Final PDT)Grade 1 (light)0 participants
Vehicle 1000 SecondsHypopigmentation at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)57 participants
Vehicle 1000 SecondsHypopigmentation at Visit 9 (3 Weeks After Final PDT)Grade 2 (moderate - small)0 participants
Vehicle 500 SecondsHypopigmentation at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)63 participants
Vehicle 500 SecondsHypopigmentation at Visit 9 (3 Weeks After Final PDT)Grade 2 (moderate - small)0 participants
Vehicle 500 SecondsHypopigmentation at Visit 9 (3 Weeks After Final PDT)Grade 1 (light)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Investigator Global Assessment of Acne Severity Successes

Assessment uses a dichotomized success/failure assessment with success defined as a 2 point or more improvement since baseline. 0 Clear skin with no inflam or non-inflam lesions 1. Almost clear; rare non-inflam lesions with no more than a few small inflam lesions 2. Mild; \> Grade 1; some non-inflam lesions with some inflam lesions (papules/pustules only; no nodules) 3. Moderate; \> Grade 2; up to many non-inflam lesions and a moderate number of inflam lesions but no more than one small nodule 4. Severe; \> Grade 3; up to many non-inflam and inflam lesions, but no more than a few nodules

Time frame: Baesline and 6 weeks after final treatment

Population: ITT LOCF

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsInvestigator Global Assessment of Acne Severity SuccessesSuccess15 participants
ALA 1000 SecondsInvestigator Global Assessment of Acne Severity SuccessesFailure53 participants
ALA 500 SecondsInvestigator Global Assessment of Acne Severity SuccessesFailure54 participants
ALA 500 SecondsInvestigator Global Assessment of Acne Severity SuccessesSuccess11 participants
Vehicle 1000 SecondsInvestigator Global Assessment of Acne Severity SuccessesFailure51 participants
Vehicle 1000 SecondsInvestigator Global Assessment of Acne Severity SuccessesSuccess16 participants
Vehicle 500 SecondsInvestigator Global Assessment of Acne Severity SuccessesSuccess16 participants
Vehicle 500 SecondsInvestigator Global Assessment of Acne Severity SuccessesFailure50 participants
Comparison: Null hypothesis: equal success rates.p-value: 0.7228Cochran-Mantel-Haenszel
Secondary

Oozing/Vesiculation/Crusting 48 Hours After PDT #1

OOZING/VESICULATION/CRUSTING Grade 0 = None Grade 1 = Minimal - a single area of oozing, vesiculation or crusting 3 mm diameter or less in size Grade 2 = Mild - two to four areas of oozing, vesiculation or crusting 3 mm diameter or less in size OR a single area larger than 3 mm diameter in size Grade 3 = Moderate - more than a single area of oozing, vesiculation or crusting larger than 3 mm diameter in size or more than four areas of 3 mm diameter or less in size Grade 4 = Severe - any degree of oozing, vesiculation or crusting greater than (3) above

Time frame: 48 hours after PDT #1

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsOozing/Vesiculation/Crusting 48 Hours After PDT #1Grade 0 (none)62 participants
ALA 1000 SecondsOozing/Vesiculation/Crusting 48 Hours After PDT #1Grade 1 (minimal)3 participants
ALA 1000 SecondsOozing/Vesiculation/Crusting 48 Hours After PDT #1Grade 2 (mild)2 participants
ALA 1000 SecondsOozing/Vesiculation/Crusting 48 Hours After PDT #1Grade 3 (moderate)1 participants
ALA 500 SecondsOozing/Vesiculation/Crusting 48 Hours After PDT #1Grade 1 (minimal)0 participants
ALA 500 SecondsOozing/Vesiculation/Crusting 48 Hours After PDT #1Grade 2 (mild)2 participants
ALA 500 SecondsOozing/Vesiculation/Crusting 48 Hours After PDT #1Grade 3 (moderate)1 participants
ALA 500 SecondsOozing/Vesiculation/Crusting 48 Hours After PDT #1Grade 0 (none)62 participants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting 48 Hours After PDT #1Grade 2 (mild)1 participants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting 48 Hours After PDT #1Grade 1 (minimal)2 participants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting 48 Hours After PDT #1Grade 3 (moderate)0 participants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting 48 Hours After PDT #1Grade 0 (none)63 participants
Vehicle 500 SecondsOozing/Vesiculation/Crusting 48 Hours After PDT #1Grade 3 (moderate)0 participants
Vehicle 500 SecondsOozing/Vesiculation/Crusting 48 Hours After PDT #1Grade 1 (minimal)4 participants
Vehicle 500 SecondsOozing/Vesiculation/Crusting 48 Hours After PDT #1Grade 0 (none)62 participants
Vehicle 500 SecondsOozing/Vesiculation/Crusting 48 Hours After PDT #1Grade 2 (mild)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.2908Cochran-Mantel-Haenszel
Secondary

Oozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)

OOZING/VESICULATION/CRUSTING Grade 0 = None Grade 1 = Minimal - a single area of oozing, vesiculation or crusting 3 mm diameter or less in size Grade 2 = Mild - two to four areas of oozing, vesiculation or crusting 3 mm diameter or less in size OR a single area larger than 3 mm diameter in size Grade 3 = Moderate - more than a single area of oozing, vesiculation or crusting larger than 3 mm diameter in size or more than four areas of 3 mm diameter or less in size Grade 4 = Severe - any degree of oozing, vesiculation or crusting greater than (3) above

Time frame: Visit 10 (6 Weeks after Final PDT)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)60 particpants
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Grade 1 (minimal)3 particpants
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Grade 2 (mild)0 particpants
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Grade 3 (moderate)0 particpants
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Grade 1 (minimal)2 particpants
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Grade 2 (mild)0 particpants
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Grade 3 (moderate)0 particpants
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)60 particpants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Grade 2 (mild)0 particpants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Grade 1 (minimal)2 particpants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Grade 3 (moderate)0 particpants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)55 particpants
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Grade 3 (moderate)0 particpants
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Grade 1 (minimal)1 particpants
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)63 particpants
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 10 (6 Weeks After Final PDT)Grade 2 (mild)0 particpants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Oozing/Vesiculation/Crusting at Visit 3 (Week 3)

OOZING/VESICULATION/CRUSTING Grade 0 = None Grade 1 = Minimal - a single area of oozing, vesiculation or crusting 3 mm diameter or less in size Grade 2 = Mild - two to four areas of oozing, vesiculation or crusting 3 mm diameter or less in size OR a single area larger than 3 mm diameter in size Grade 3 = Moderate - more than a single area of oozing, vesiculation or crusting larger than 3 mm diameter in size or more than four areas of 3 mm diameter or less in size Grade 4 = Severe - any degree of oozing, vesiculation or crusting greater than (3) above

Time frame: Visit 3 (Week 3)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 3 (Week 3)Grade 0 (none)58 participants
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 3 (Week 3)Grade 1 (minimal)5 participants
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 3 (Week 3)Grade 3 (moderate)0 participants
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 3 (Week 3)Grade 2 (mild)1 participants
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 3 (Week 3)Grade 1 (minimal)3 participants
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 3 (Week 3)Grade 3 (moderate)0 participants
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 3 (Week 3)Grade 2 (mild)0 participants
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 3 (Week 3)Grade 0 (none)59 participants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 3 (Week 3)Grade 0 (none)59 participants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 3 (Week 3)Grade 3 (moderate)0 participants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 3 (Week 3)Grade 2 (mild)1 participants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 3 (Week 3)Grade 1 (minimal)2 participants
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 3 (Week 3)Grade 3 (moderate)0 participants
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 3 (Week 3)Grade 0 (none)65 participants
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 3 (Week 3)Grade 1 (minimal)0 participants
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 3 (Week 3)Grade 2 (mild)1 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.8096Cochran-Mantel-Haenszel
Secondary

Oozing/Vesiculation/Crusting at Visit 5 (Week 6)

OOZING/VESICULATION/CRUSTING Grade 0 = None Grade 1 = Minimal - a single area of oozing, vesiculation or crusting 3 mm diameter or less in size Grade 2 = Mild - two to four areas of oozing, vesiculation or crusting 3 mm diameter or less in size OR a single area larger than 3 mm diameter in size Grade 3 = Moderate - more than a single area of oozing, vesiculation or crusting larger than 3 mm diameter in size or more than four areas of 3 mm diameter or less in size Grade 4 = Severe - any degree of oozing, vesiculation or crusting greater than (3) above

Time frame: Visit 5 (Week 6)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 5 (Week 6)Grade 0 (none)59 participant
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 5 (Week 6)Grade 1 (minimal)3 participant
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 5 (Week 6)Grade 2 (mild)0 participant
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 5 (Week 6)Grade 3 (moderate)0 participant
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 5 (Week 6)Grade 1 (minimal)6 participant
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 5 (Week 6)Grade 2 (mild)0 participant
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 5 (Week 6)Grade 3 (moderate)0 participant
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 5 (Week 6)Grade 0 (none)57 participant
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 5 (Week 6)Grade 2 (mild)1 participant
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 5 (Week 6)Grade 1 (minimal)3 participant
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 5 (Week 6)Grade 3 (moderate)0 participant
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 5 (Week 6)Grade 0 (none)56 participant
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 5 (Week 6)Grade 3 (moderate)0 participant
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 5 (Week 6)Grade 1 (minimal)2 participant
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 5 (Week 6)Grade 0 (none)61 participant
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 5 (Week 6)Grade 2 (mild)0 participant
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.308Cochran-Mantel-Haenszel
Secondary

Oozing/Vesiculation/Crusting at Visit 7 (Week 9)

OOZING/VESICULATION/CRUSTING Grade 0 = None Grade 1 = Minimal - a single area of oozing, vesiculation or crusting 3 mm diameter or less in size Grade 2 = Mild - two to four areas of oozing, vesiculation or crusting 3 mm diameter or less in size OR a single area larger than 3 mm diameter in size Grade 3 = Moderate - more than a single area of oozing, vesiculation or crusting larger than 3 mm diameter in size or more than four areas of 3 mm diameter or less in size Grade 4 = Severe - any degree of oozing, vesiculation or crusting greater than (3) above

Time frame: Visit 7 (Week 9)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 7 (Week 9)Grade 0 (none)61 participants
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 7 (Week 9)Grade 1 (minimal)2 participants
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 7 (Week 9)Grade 2 (mild)0 participants
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 7 (Week 9)Grade 3 (moderate)0 participants
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 7 (Week 9)Grade 1 (minimal)4 participants
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 7 (Week 9)Grade 2 (mild)0 participants
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 7 (Week 9)Grade 3 (moderate)0 participants
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 7 (Week 9)Grade 0 (none)58 participants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 7 (Week 9)Grade 2 (mild)1 participants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 7 (Week 9)Grade 1 (minimal)3 participants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 7 (Week 9)Grade 3 (moderate)0 participants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 7 (Week 9)Grade 0 (none)53 participants
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 7 (Week 9)Grade 3 (moderate)0 participants
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 7 (Week 9)Grade 1 (minimal)2 participants
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 7 (Week 9)Grade 0 (none)63 participants
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 7 (Week 9)Grade 2 (mild)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.3208Cochran-Mantel-Haenszel
Secondary

Oozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)

OOZING/VESICULATION/CRUSTING Grade 0 = None Grade 1 = Minimal - a single area of oozing, vesiculation or crusting 3 mm diameter or less in size Grade 2 = Mild - two to four areas of oozing, vesiculation or crusting 3 mm diameter or less in size OR a single area larger than 3 mm diameter in size Grade 3 = Moderate - more than a single area of oozing, vesiculation or crusting larger than 3 mm diameter in size or more than four areas of 3 mm diameter or less in size Grade 4 = Severe - any degree of oozing, vesiculation or crusting greater than (3) above

Time frame: Visit 9 (3 Weeks after Final PDT)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)59 participants
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Grade 1 (minimal)3 participants
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Grade 2 (mild)0 participants
ALA 1000 SecondsOozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Grade 3 (moderate)0 participants
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Grade 1 (minimal)2 participants
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Grade 2 (mild)0 participants
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Grade 3 (moderate)0 participants
ALA 500 SecondsOozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)59 participants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Grade 2 (mild)0 participants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Grade 1 (minimal)6 participants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Grade 3 (moderate)0 participants
Vehicle 1000 SecondsOozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)51 participants
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Grade 3 (moderate)0 participants
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Grade 1 (minimal)3 participants
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)60 participants
Vehicle 500 SecondsOozing/Vesiculation/Crusting at Visit 9 (3 Weeks After Final PDT)Grade 2 (mild)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Percent Change in Inflammatory Lesion Counts Relative to Baseline

Time frame: Baseline and 6 weeks after final treatment

Population: ITT LOCF

ArmMeasureValue (MEDIAN)Dispersion
ALA 1000 SecondsPercent Change in Inflammatory Lesion Counts Relative to Baseline-34.4 percent change in lesion countStandard Deviation 37.8
ALA 500 SecondsPercent Change in Inflammatory Lesion Counts Relative to Baseline-29.0 percent change in lesion countStandard Deviation 42.57
Vehicle 1000 SecondsPercent Change in Inflammatory Lesion Counts Relative to Baseline-48.4 percent change in lesion countStandard Deviation 32.81
Vehicle 500 SecondsPercent Change in Inflammatory Lesion Counts Relative to Baseline-45.2 percent change in lesion countStandard Deviation 50.15
Comparison: Null hypothesis: equal median percent changes from baseline in total inflammatory lesion counts among the treatmentsp-value: >0.1ANOVA
Secondary

Percent Change in Inflammatory Lesion Counts Relative to Baseline

Time frame: Baseline and 3 weeks after final treatment

Population: ITT LOCF

ArmMeasureValue (MEDIAN)Dispersion
ALA 1000 SecondsPercent Change in Inflammatory Lesion Counts Relative to Baseline-37.5 percent change in lesion countStandard Deviation 38.79
ALA 500 SecondsPercent Change in Inflammatory Lesion Counts Relative to Baseline-29.2 percent change in lesion countStandard Deviation 46.68
Vehicle 1000 SecondsPercent Change in Inflammatory Lesion Counts Relative to Baseline-41.7 percent change in lesion countStandard Deviation 38.82
Vehicle 500 SecondsPercent Change in Inflammatory Lesion Counts Relative to Baseline-37.0 percent change in lesion countStandard Deviation 40.23
Comparison: Null hypothesis: equal median percent changes from baseline in total inflammatory lesion counts among the treatmentsp-value: >0.1ANOVA
Secondary

Scaling and Dryness 48 Hours After PDT #1

SCALING AND DRYNESS SCALE Grade 0 = None Grade 1 = Minimal - barely perceptible desquamation Grade 2 = Mild - limited areas of fine desquamation in up to 1/3 of the treatment area Grade 3 = Moderate - fine desquamation involving 1/3 to 2/3 of the treatment area or limited areas of coarser scaling Grade 4 = Severe - coarser scaling involving more than 2/3 of the treatment area or limited areas of very coarse scaling

Time frame: 48 hours after PDT #1

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsScaling and Dryness 48 Hours After PDT #1Grade 2 (mild)6 participants
ALA 1000 SecondsScaling and Dryness 48 Hours After PDT #1Grade 1 (minimal)20 participants
ALA 1000 SecondsScaling and Dryness 48 Hours After PDT #1Grade 3 (moderate)4 participants
ALA 1000 SecondsScaling and Dryness 48 Hours After PDT #1Grade 0 (none)38 participants
ALA 1000 SecondsScaling and Dryness 48 Hours After PDT #1Grade 4 (severe)0 participants
ALA 500 SecondsScaling and Dryness 48 Hours After PDT #1Grade 4 (severe)1 participants
ALA 500 SecondsScaling and Dryness 48 Hours After PDT #1Grade 0 (none)35 participants
ALA 500 SecondsScaling and Dryness 48 Hours After PDT #1Grade 1 (minimal)20 participants
ALA 500 SecondsScaling and Dryness 48 Hours After PDT #1Grade 2 (mild)6 participants
ALA 500 SecondsScaling and Dryness 48 Hours After PDT #1Grade 3 (moderate)3 participants
Vehicle 1000 SecondsScaling and Dryness 48 Hours After PDT #1Grade 2 (mild)3 participants
Vehicle 1000 SecondsScaling and Dryness 48 Hours After PDT #1Grade 4 (severe)1 participants
Vehicle 1000 SecondsScaling and Dryness 48 Hours After PDT #1Grade 0 (none)47 participants
Vehicle 1000 SecondsScaling and Dryness 48 Hours After PDT #1Grade 3 (moderate)1 participants
Vehicle 1000 SecondsScaling and Dryness 48 Hours After PDT #1Grade 1 (minimal)14 participants
Vehicle 500 SecondsScaling and Dryness 48 Hours After PDT #1Grade 4 (severe)0 participants
Vehicle 500 SecondsScaling and Dryness 48 Hours After PDT #1Grade 3 (moderate)1 participants
Vehicle 500 SecondsScaling and Dryness 48 Hours After PDT #1Grade 2 (mild)2 participants
Vehicle 500 SecondsScaling and Dryness 48 Hours After PDT #1Grade 1 (minimal)14 participants
Vehicle 500 SecondsScaling and Dryness 48 Hours After PDT #1Grade 0 (none)49 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0865Cochran-Mantel-Haenszel
Secondary

Scaling and Dryness at Visit 10 (6 Weeks After Final PDT)

SCALING AND DRYNESS SCALE Grade 0 = None Grade 1 = Minimal - barely perceptible desquamation Grade 2 = Mild - limited areas of fine desquamation in up to 1/3 of the treatment area Grade 3 = Moderate - fine desquamation involving 1/3 to 2/3 of the treatment area or limited areas of coarser scaling Grade 4 = Severe - coarser scaling involving more than 2/3 of the treatment area or limited areas of very coarse scaling

Time frame: Visit 10 (6 Weeks after Final PDT)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 3 (moderate)0 participants
ALA 1000 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 1 (minimal)15 participants
ALA 1000 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 4 (severe)0 participants
ALA 1000 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 2 (mild)2 participants
ALA 1000 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)46 participants
ALA 500 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 2 (mild)1 participants
ALA 500 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 3 (moderate)1 participants
ALA 500 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 4 (severe)0 participants
ALA 500 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 1 (minimal)15 participants
ALA 500 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)45 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 2 (mild)4 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)43 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 1 (minimal)10 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 3 (moderate)0 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 4 (severe)0 participants
Vehicle 500 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 3 (moderate)0 participants
Vehicle 500 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 1 (minimal)7 participants
Vehicle 500 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)56 participants
Vehicle 500 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 2 (mild)1 participants
Vehicle 500 SecondsScaling and Dryness at Visit 10 (6 Weeks After Final PDT)Grade 4 (severe)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.3832Cochran-Mantel-Haenszel
Secondary

Scaling and Dryness at Visit 3 (Week 3)

SCALING AND DRYNESS SCALE Grade 0 = None Grade 1 = Minimal - barely perceptible desquamation Grade 2 = Mild - limited areas of fine desquamation in up to 1/3 of the treatment area Grade 3 = Moderate - fine desquamation involving 1/3 to 2/3 of the treatment area or limited areas of coarser scaling Grade 4 = Severe - coarser scaling involving more than 2/3 of the treatment area or limited areas of very coarse scaling

Time frame: Visit 3 (Week 3)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 3 (moderate)0 participants
ALA 1000 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 1 (minimal)11 participants
ALA 1000 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 4 (severe)0 participants
ALA 1000 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 2 (mild)1 participants
ALA 1000 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 0 (none)52 participants
ALA 500 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 2 (mild)2 participants
ALA 500 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 3 (moderate)1 participants
ALA 500 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 4 (severe)0 participants
ALA 500 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 1 (minimal)11 participants
ALA 500 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 0 (none)48 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 2 (mild)4 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 0 (none)44 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 1 (minimal)14 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 3 (moderate)0 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 4 (severe)0 participants
Vehicle 500 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 3 (moderate)0 participants
Vehicle 500 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 1 (minimal)8 participants
Vehicle 500 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 0 (none)55 participants
Vehicle 500 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 2 (mild)3 participants
Vehicle 500 SecondsScaling and Dryness at Visit 3 (Week 3)Grade 4 (severe)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.623Cochran-Mantel-Haenszel
Secondary

Scaling and Dryness at Visit 5 (Week 6)

SCALING AND DRYNESS SCALE Grade 0 = None Grade 1 = Minimal - barely perceptible desquamation Grade 2 = Mild - limited areas of fine desquamation in up to 1/3 of the treatment area Grade 3 = Moderate - fine desquamation involving 1/3 to 2/3 of the treatment area or limited areas of coarser scaling Grade 4 = Severe - coarser scaling involving more than 2/3 of the treatment area or limited areas of very coarse scaling

Time frame: Visit 5 (Week 6)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 2 (mild)4 participants
ALA 1000 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 0 (none)52 participants
ALA 1000 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 3 (moderate)0 participants
ALA 1000 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 1 (minimal)6 participants
ALA 1000 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 4 (severe)0 participants
ALA 500 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 2 (mild)0 participants
ALA 500 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 1 (minimal)13 participants
ALA 500 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 3 (moderate)0 participants
ALA 500 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 0 (none)50 participants
ALA 500 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 4 (severe)0 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 4 (severe)0 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 0 (none)40 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 1 (minimal)14 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 2 (mild)4 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 3 (moderate)2 participants
Vehicle 500 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 4 (severe)0 participants
Vehicle 500 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 3 (moderate)1 participants
Vehicle 500 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 1 (minimal)9 participants
Vehicle 500 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 0 (none)51 participants
Vehicle 500 SecondsScaling and Dryness at Visit 5 (Week 6)Grade 2 (mild)2 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0963Cochran-Mantel-Haenszel
Secondary

Scaling and Dryness at Visit 7 (Week 9)

SCALING AND DRYNESS SCALE Grade 0 = None Grade 1 = Minimal - barely perceptible desquamation Grade 2 = Mild - limited areas of fine desquamation in up to 1/3 of the treatment area Grade 3 = Moderate - fine desquamation involving 1/3 to 2/3 of the treatment area or limited areas of coarser scaling Grade 4 = Severe - coarser scaling involving more than 2/3 of the treatment area or limited areas of very coarse scaling

Time frame: Visit 7 (Week 9)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 3 (moderate)0 participants
ALA 1000 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 1 (minimal)17 participants
ALA 1000 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 4 (severe)0 participants
ALA 1000 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 2 (mild)2 participants
ALA 1000 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 0 (none)44 participants
ALA 500 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 2 (mild)2 participants
ALA 500 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 3 (moderate)0 participants
ALA 500 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 4 (severe)0 participants
ALA 500 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 1 (minimal)10 participants
ALA 500 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 0 (none)50 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 2 (mild)3 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 0 (none)41 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 1 (minimal)11 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 3 (moderate)2 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 4 (severe)0 participants
Vehicle 500 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 3 (moderate)0 participants
Vehicle 500 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 1 (minimal)5 participants
Vehicle 500 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 0 (none)56 participants
Vehicle 500 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 2 (mild)4 participants
Vehicle 500 SecondsScaling and Dryness at Visit 7 (Week 9)Grade 4 (severe)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.4814Cochran-Mantel-Haenszel
Secondary

Scaling and Dryness at Visit 9 (3 Weeks After Final PDT)

SCALING AND DRYNESS SCALE Grade 0 = None Grade 1 = Minimal - barely perceptible desquamation Grade 2 = Mild - limited areas of fine desquamation in up to 1/3 of the treatment area Grade 3 = Moderate - fine desquamation involving 1/3 to 2/3 of the treatment area or limited areas of coarser scaling Grade 4 = Severe - coarser scaling involving more than 2/3 of the treatment area or limited areas of very coarse scaling

Time frame: Visit 9 (3 Weeks after Final PDT)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 3 (moderate)0 participants
ALA 1000 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 1 (minimal)7 participants
ALA 1000 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 4 (severe)0 participants
ALA 1000 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 2 (mild)3 participants
ALA 1000 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)52 participants
ALA 500 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 2 (mild)2 participants
ALA 500 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 3 (moderate)0 participants
ALA 500 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 4 (severe)0 participants
ALA 500 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 1 (minimal)10 participants
ALA 500 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)49 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 2 (mild)3 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)44 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 1 (minimal)10 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 3 (moderate)0 participants
Vehicle 1000 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 4 (severe)0 participants
Vehicle 500 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 3 (moderate)0 participants
Vehicle 500 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 1 (minimal)11 participants
Vehicle 500 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)51 participants
Vehicle 500 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 2 (mild)1 participants
Vehicle 500 SecondsScaling and Dryness at Visit 9 (3 Weeks After Final PDT)Grade 4 (severe)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.7153Cochran-Mantel-Haenszel
Secondary

Stinging/Burning 48 Hours Post PDT #1

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: 48 hours post PDT #1

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning 48 Hours Post PDT #1Grade 0 (none)61 participants
ALA 1000 SecondsStinging/Burning 48 Hours Post PDT #1Grade 1 (minimal)6 participants
ALA 1000 SecondsStinging/Burning 48 Hours Post PDT #1Grade 2 (moderate)1 participants
ALA 1000 SecondsStinging/Burning 48 Hours Post PDT #1Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning 48 Hours Post PDT #1Grade 1 (minimal)8 participants
ALA 500 SecondsStinging/Burning 48 Hours Post PDT #1Grade 2 (moderate)3 participants
ALA 500 SecondsStinging/Burning 48 Hours Post PDT #1Grade 3 (severe)2 participants
ALA 500 SecondsStinging/Burning 48 Hours Post PDT #1Grade 0 (none)52 participants
Vehicle 1000 SecondsStinging/Burning 48 Hours Post PDT #1Grade 2 (moderate)0 participants
Vehicle 1000 SecondsStinging/Burning 48 Hours Post PDT #1Grade 1 (minimal)2 participants
Vehicle 1000 SecondsStinging/Burning 48 Hours Post PDT #1Grade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning 48 Hours Post PDT #1Grade 0 (none)64 participants
Vehicle 500 SecondsStinging/Burning 48 Hours Post PDT #1Grade 3 (severe)0 participants
Vehicle 500 SecondsStinging/Burning 48 Hours Post PDT #1Grade 1 (minimal)3 participants
Vehicle 500 SecondsStinging/Burning 48 Hours Post PDT #1Grade 0 (none)63 participants
Vehicle 500 SecondsStinging/Burning 48 Hours Post PDT #1Grade 2 (moderate)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0064Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0939Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.3173Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.2207Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0183Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0254Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Baseline - Before Light Treatment

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Baseline - before light treatment

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Baseline - Before Light TreatmentGrade 0 (none)56 participants
ALA 1000 SecondsStinging/Burning at Baseline - Before Light TreatmentGrade 1 (minimal)7 participants
ALA 1000 SecondsStinging/Burning at Baseline - Before Light TreatmentGrade 2 (moderate)5 participants
ALA 1000 SecondsStinging/Burning at Baseline - Before Light TreatmentGrade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Baseline - Before Light TreatmentGrade 1 (minimal)11 participants
ALA 500 SecondsStinging/Burning at Baseline - Before Light TreatmentGrade 2 (moderate)2 participants
ALA 500 SecondsStinging/Burning at Baseline - Before Light TreatmentGrade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Baseline - Before Light TreatmentGrade 0 (none)52 participants
Vehicle 1000 SecondsStinging/Burning at Baseline - Before Light TreatmentGrade 2 (moderate)0 participants
Vehicle 1000 SecondsStinging/Burning at Baseline - Before Light TreatmentGrade 1 (minimal)3 participants
Vehicle 1000 SecondsStinging/Burning at Baseline - Before Light TreatmentGrade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Baseline - Before Light TreatmentGrade 0 (none)64 participants
Vehicle 500 SecondsStinging/Burning at Baseline - Before Light TreatmentGrade 3 (severe)0 participants
Vehicle 500 SecondsStinging/Burning at Baseline - Before Light TreatmentGrade 1 (minimal)4 participants
Vehicle 500 SecondsStinging/Burning at Baseline - Before Light TreatmentGrade 0 (none)62 participants
Vehicle 500 SecondsStinging/Burning at Baseline - Before Light TreatmentGrade 2 (moderate)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0165Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.2252Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0179Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0233Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.1573Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.2039Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Baseline - During Light

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Baseline - during light

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Baseline - During LightGrade 0 (none)43 participants
ALA 1000 SecondsStinging/Burning at Baseline - During LightGrade 1 (minimal)21 participants
ALA 1000 SecondsStinging/Burning at Baseline - During LightGrade 2 (moderate)4 participants
ALA 1000 SecondsStinging/Burning at Baseline - During LightGrade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Baseline - During LightGrade 1 (minimal)26 participants
ALA 500 SecondsStinging/Burning at Baseline - During LightGrade 2 (moderate)6 participants
ALA 500 SecondsStinging/Burning at Baseline - During LightGrade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Baseline - During LightGrade 0 (none)33 participants
Vehicle 1000 SecondsStinging/Burning at Baseline - During LightGrade 2 (moderate)2 participants
Vehicle 1000 SecondsStinging/Burning at Baseline - During LightGrade 1 (minimal)6 participants
Vehicle 1000 SecondsStinging/Burning at Baseline - During LightGrade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Baseline - During LightGrade 0 (none)59 participants
Vehicle 500 SecondsStinging/Burning at Baseline - During LightGrade 3 (severe)0 participants
Vehicle 500 SecondsStinging/Burning at Baseline - During LightGrade 1 (minimal)7 participants
Vehicle 500 SecondsStinging/Burning at Baseline - During LightGrade 0 (none)58 participants
Vehicle 500 SecondsStinging/Burning at Baseline - During LightGrade 2 (moderate)1 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.1594Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Baseline - Post Light Treatment

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Baseline - post light treatment

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Baseline - Post Light TreatmentGrade 0 (none)53 participants
ALA 1000 SecondsStinging/Burning at Baseline - Post Light TreatmentGrade 2 (minimal)14 participants
ALA 1000 SecondsStinging/Burning at Baseline - Post Light TreatmentGrade 3 (moderate)1 participants
ALA 1000 SecondsStinging/Burning at Baseline - Post Light TreatmentGrade 4 (severe)0 participants
ALA 500 SecondsStinging/Burning at Baseline - Post Light TreatmentGrade 2 (minimal)17 participants
ALA 500 SecondsStinging/Burning at Baseline - Post Light TreatmentGrade 3 (moderate)1 participants
ALA 500 SecondsStinging/Burning at Baseline - Post Light TreatmentGrade 4 (severe)0 participants
ALA 500 SecondsStinging/Burning at Baseline - Post Light TreatmentGrade 0 (none)47 participants
Vehicle 1000 SecondsStinging/Burning at Baseline - Post Light TreatmentGrade 3 (moderate)0 participants
Vehicle 1000 SecondsStinging/Burning at Baseline - Post Light TreatmentGrade 2 (minimal)4 participants
Vehicle 1000 SecondsStinging/Burning at Baseline - Post Light TreatmentGrade 4 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Baseline - Post Light TreatmentGrade 0 (none)63 participants
Vehicle 500 SecondsStinging/Burning at Baseline - Post Light TreatmentGrade 4 (severe)0 participants
Vehicle 500 SecondsStinging/Burning at Baseline - Post Light TreatmentGrade 2 (minimal)4 participants
Vehicle 500 SecondsStinging/Burning at Baseline - Post Light TreatmentGrade 0 (none)62 participants
Vehicle 500 SecondsStinging/Burning at Baseline - Post Light TreatmentGrade 3 (moderate)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.5838Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Visit 10 (6 Weeks After Final PDT)

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Visit 10 (6 Weeks after Final PDT)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)63 participants
ALA 1000 SecondsStinging/Burning at Visit 10 (6 Weeks After Final PDT)Grade 1 (minimal)0 participants
ALA 1000 SecondsStinging/Burning at Visit 10 (6 Weeks After Final PDT)Grade 2 (moderate)0 participants
ALA 1000 SecondsStinging/Burning at Visit 10 (6 Weeks After Final PDT)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 10 (6 Weeks After Final PDT)Grade 1 (minimal)1 participants
ALA 500 SecondsStinging/Burning at Visit 10 (6 Weeks After Final PDT)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)61 participants
ALA 500 SecondsStinging/Burning at Visit 10 (6 Weeks After Final PDT)Grade 2 (moderate)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)57 participants
Vehicle 1000 SecondsStinging/Burning at Visit 10 (6 Weeks After Final PDT)Grade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 10 (6 Weeks After Final PDT)Grade 2 (moderate)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 10 (6 Weeks After Final PDT)Grade 1 (minimal)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 10 (6 Weeks After Final PDT)Grade 3 (severe)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 10 (6 Weeks After Final PDT)Grade 0 (none)63 participants
Vehicle 500 SecondsStinging/Burning at Visit 10 (6 Weeks After Final PDT)Grade 1 (minimal)1 participants
Vehicle 500 SecondsStinging/Burning at Visit 10 (6 Weeks After Final PDT)Grade 2 (moderate)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Visit 3 (Week 3 - Before Light Treatment)

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Visit 3 (Week 3 - before light treatment)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Grade 0 (none)53 participants
ALA 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Grade 1 (minimal)6 participants
ALA 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Grade 2 (moderate)3 participants
ALA 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Grade 1 (minimal)10 participants
ALA 500 SecondsStinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Grade 2 (moderate)2 participants
ALA 500 SecondsStinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Grade 0 (none)49 participants
Vehicle 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Grade 2 (moderate)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Grade 1 (minimal)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Grade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Grade 0 (none)62 participants
Vehicle 500 SecondsStinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Grade 3 (severe)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Grade 1 (minimal)4 participants
Vehicle 500 SecondsStinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Grade 0 (none)61 participants
Vehicle 500 SecondsStinging/Burning at Visit 3 (Week 3 - Before Light Treatment)Grade 2 (moderate)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.1728Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Visit 3 (Week 3 - before study drug application)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Grade 0 (none)61 participants
ALA 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Grade 1 (minimal)2 participants
ALA 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Grade 2 (moderate)1 participants
ALA 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Grade 1 (minimal)1 participants
ALA 500 SecondsStinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Grade 2 (moderate)0 participants
ALA 500 SecondsStinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Grade 0 (none)61 participants
Vehicle 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Grade 2 (moderate)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Grade 1 (minimal)2 participants
Vehicle 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Grade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Grade 0 (none)60 participants
Vehicle 500 SecondsStinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Grade 3 (severe)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Grade 1 (minimal)2 participants
Vehicle 500 SecondsStinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Grade 0 (none)64 participants
Vehicle 500 SecondsStinging/Burning at Visit 3 (Week 3 - Before Study Drug Application)Grade 2 (moderate)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.4753Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Visit 3 (Week 3 - During Light Treatment)

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Visit 3 (Week 3 - during light treatment)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Visit 3 (Week 3 - During Light Treatment)Grade 0 (none)46 participants
ALA 1000 SecondsStinging/Burning at Visit 3 (Week 3 - During Light Treatment)Grade 1 (minimal)9 participants
ALA 1000 SecondsStinging/Burning at Visit 3 (Week 3 - During Light Treatment)Grade 2 (moderate)7 participants
ALA 1000 SecondsStinging/Burning at Visit 3 (Week 3 - During Light Treatment)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 3 (Week 3 - During Light Treatment)Grade 1 (minimal)19 participants
ALA 500 SecondsStinging/Burning at Visit 3 (Week 3 - During Light Treatment)Grade 2 (moderate)8 participants
ALA 500 SecondsStinging/Burning at Visit 3 (Week 3 - During Light Treatment)Grade 3 (severe)1 participants
ALA 500 SecondsStinging/Burning at Visit 3 (Week 3 - During Light Treatment)Grade 0 (none)33 participants
Vehicle 1000 SecondsStinging/Burning at Visit 3 (Week 3 - During Light Treatment)Grade 2 (moderate)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 3 (Week 3 - During Light Treatment)Grade 1 (minimal)3 participants
Vehicle 1000 SecondsStinging/Burning at Visit 3 (Week 3 - During Light Treatment)Grade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 3 (Week 3 - During Light Treatment)Grade 0 (none)59 participants
Vehicle 500 SecondsStinging/Burning at Visit 3 (Week 3 - During Light Treatment)Grade 3 (severe)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 3 (Week 3 - During Light Treatment)Grade 1 (minimal)7 participants
Vehicle 500 SecondsStinging/Burning at Visit 3 (Week 3 - During Light Treatment)Grade 0 (none)58 participants
Vehicle 500 SecondsStinging/Burning at Visit 3 (Week 3 - During Light Treatment)Grade 2 (moderate)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0002Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.5313Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0045Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0045Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0012Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0015Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Visit 3 (Week 3 - Post Light Treatment)

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Visit 3 (Week 3 - post light treatment)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Grade 0 (none)53 participants
ALA 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Grade 1 (minimal)6 participants
ALA 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Grade 2 (moderate)3 participants
ALA 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Grade 1 (minimal)9 participants
ALA 500 SecondsStinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Grade 2 (moderate)3 participants
ALA 500 SecondsStinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Grade 0 (none)49 participants
Vehicle 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Grade 2 (moderate)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Grade 1 (minimal)2 participants
Vehicle 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Grade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Grade 0 (none)60 participants
Vehicle 500 SecondsStinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Grade 3 (severe)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Grade 1 (minimal)6 participants
Vehicle 500 SecondsStinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Grade 0 (none)59 participants
Vehicle 500 SecondsStinging/Burning at Visit 3 (Week 3 - Post Light Treatment)Grade 2 (moderate)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0892Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Visit 5 (Week 6 - before study drug application)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Grade 0 (none)61 participants
ALA 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Grade 1 (minimal)1 participants
ALA 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Grade 2 (moderate)0 participants
ALA 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Grade 1 (minimal)1 participants
ALA 500 SecondsStinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Grade 2 (moderate)0 participants
ALA 500 SecondsStinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Grade 0 (none)62 participants
Vehicle 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Grade 2 (moderate)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Grade 1 (minimal)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Grade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Grade 0 (none)60 participants
Vehicle 500 SecondsStinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Grade 3 (severe)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Grade 1 (minimal)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Grade 0 (none)62 participants
Vehicle 500 SecondsStinging/Burning at Visit 5 (Week 6 - Before Study Drug Application)Grade 2 (moderate)1 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.4575Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Visit 5 (Week 6 - During Light Treatment)

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Visit 5 (Week 6 - during light treatment)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Visit 5 (Week 6 - During Light Treatment)Grade 0 (none)41 participants
ALA 1000 SecondsStinging/Burning at Visit 5 (Week 6 - During Light Treatment)Grade 1 (minimal)10 participants
ALA 1000 SecondsStinging/Burning at Visit 5 (Week 6 - During Light Treatment)Grade 2 (moderate)7 participants
ALA 1000 SecondsStinging/Burning at Visit 5 (Week 6 - During Light Treatment)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 5 (Week 6 - During Light Treatment)Grade 1 (minimal)16 participants
ALA 500 SecondsStinging/Burning at Visit 5 (Week 6 - During Light Treatment)Grade 2 (moderate)11 participants
ALA 500 SecondsStinging/Burning at Visit 5 (Week 6 - During Light Treatment)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 5 (Week 6 - During Light Treatment)Grade 0 (none)34 participants
Vehicle 1000 SecondsStinging/Burning at Visit 5 (Week 6 - During Light Treatment)Grade 2 (moderate)1 participants
Vehicle 1000 SecondsStinging/Burning at Visit 5 (Week 6 - During Light Treatment)Grade 1 (minimal)2 participants
Vehicle 1000 SecondsStinging/Burning at Visit 5 (Week 6 - During Light Treatment)Grade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 5 (Week 6 - During Light Treatment)Grade 0 (none)57 participants
Vehicle 500 SecondsStinging/Burning at Visit 5 (Week 6 - During Light Treatment)Grade 3 (severe)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 5 (Week 6 - During Light Treatment)Grade 1 (minimal)2 participants
Vehicle 500 SecondsStinging/Burning at Visit 5 (Week 6 - During Light Treatment)Grade 0 (none)59 participants
Vehicle 500 SecondsStinging/Burning at Visit 5 (Week 6 - During Light Treatment)Grade 2 (moderate)1 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0008Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.4091Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0176Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0245Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.002Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0022Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.9372Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Visit 5 (Week 6 - Post Light Treatment)

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Visit 5 (Week 6 - post light treatment)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Grade 0 (none)47 participants
ALA 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Grade 1 (minimal)10 participants
ALA 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Grade 2 (moderate)1 participants
ALA 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Grade 1 (minimal)8 participants
ALA 500 SecondsStinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Grade 2 (moderate)4 participants
ALA 500 SecondsStinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Grade 0 (none)49 participants
Vehicle 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Grade 2 (moderate)1 participants
Vehicle 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Grade 1 (minimal)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Grade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Grade 0 (none)59 participants
Vehicle 500 SecondsStinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Grade 3 (severe)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Grade 1 (minimal)1 participants
Vehicle 500 SecondsStinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Grade 0 (none)60 participants
Vehicle 500 SecondsStinging/Burning at Visit 5 (Week 6 - Post Light Treatment)Grade 2 (moderate)1 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.239Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Visit 5 (Week 6 - prior to light treatment)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Grade 0 (none)50 participants
ALA 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Grade 1 (minimal)7 participants
ALA 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Grade 2 (moderate)1 participants
ALA 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Grade 1 (minimal)10 participants
ALA 500 SecondsStinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Grade 2 (moderate)2 participants
ALA 500 SecondsStinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Grade 0 (none)49 participants
Vehicle 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Grade 2 (moderate)1 participants
Vehicle 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Grade 1 (minimal)3 participants
Vehicle 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Grade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Grade 0 (none)56 participants
Vehicle 500 SecondsStinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Grade 3 (severe)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Grade 1 (minimal)2 participants
Vehicle 500 SecondsStinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Grade 0 (none)59 participants
Vehicle 500 SecondsStinging/Burning at Visit 5 (Week 6 - Prior to Light Treatment)Grade 2 (moderate)1 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.8848Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Visit 7 (Week 9 - before study drug application)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Grade 0 (none)63 participants
ALA 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Grade 1 (minimal)0 participants
ALA 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Grade 2 (moderate)0 participants
ALA 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Grade 1 (minimal)0 participants
ALA 500 SecondsStinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Grade 2 (moderate)0 participants
ALA 500 SecondsStinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Grade 0 (none)62 participants
Vehicle 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Grade 2 (moderate)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Grade 1 (minimal)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Grade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Grade 0 (none)57 participants
Vehicle 500 SecondsStinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Grade 3 (severe)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Grade 1 (minimal)2 participants
Vehicle 500 SecondsStinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Grade 0 (none)63 participants
Vehicle 500 SecondsStinging/Burning at Visit 7 (Week 9 - Before Study Drug Application)Grade 2 (moderate)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Visit 7 (Week 9 - During Light Treatment)

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Visit 7 (Week 9 - during light treatment)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Visit 7 (Week 9 - During Light Treatment)Grade 0 (none)39 participants
ALA 1000 SecondsStinging/Burning at Visit 7 (Week 9 - During Light Treatment)Grade 1 (minimal)14 participants
ALA 1000 SecondsStinging/Burning at Visit 7 (Week 9 - During Light Treatment)Grade 2 (moderate)3 participants
ALA 1000 SecondsStinging/Burning at Visit 7 (Week 9 - During Light Treatment)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 7 (Week 9 - During Light Treatment)Grade 1 (minimal)21 participants
ALA 500 SecondsStinging/Burning at Visit 7 (Week 9 - During Light Treatment)Grade 2 (moderate)10 participants
ALA 500 SecondsStinging/Burning at Visit 7 (Week 9 - During Light Treatment)Grade 3 (severe)1 participants
ALA 500 SecondsStinging/Burning at Visit 7 (Week 9 - During Light Treatment)Grade 0 (none)28 participants
Vehicle 1000 SecondsStinging/Burning at Visit 7 (Week 9 - During Light Treatment)Grade 2 (moderate)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 7 (Week 9 - During Light Treatment)Grade 1 (minimal)2 participants
Vehicle 1000 SecondsStinging/Burning at Visit 7 (Week 9 - During Light Treatment)Grade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 7 (Week 9 - During Light Treatment)Grade 0 (none)54 participants
Vehicle 500 SecondsStinging/Burning at Visit 7 (Week 9 - During Light Treatment)Grade 3 (severe)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 7 (Week 9 - During Light Treatment)Grade 1 (minimal)3 participants
Vehicle 500 SecondsStinging/Burning at Visit 7 (Week 9 - During Light Treatment)Grade 0 (none)59 participants
Vehicle 500 SecondsStinging/Burning at Visit 7 (Week 9 - During Light Treatment)Grade 2 (moderate)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: <0.0001Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0255Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0576Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0686Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0004Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0005Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Visit 7 (Week 9 - Post Light Treatment)

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Visit 7 (Week 9 - post light treatment)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Grade 0 (none)49 participants
ALA 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Grade 1 (minimal)7 participants
ALA 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Grade 2 (moderate)0 participants
ALA 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Grade 1 (minimal)14 participants
ALA 500 SecondsStinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Grade 2 (moderate)6 participants
ALA 500 SecondsStinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Grade 0 (none)40 participants
Vehicle 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Grade 2 (moderate)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Grade 1 (minimal)2 participants
Vehicle 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Grade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Grade 0 (none)54 participants
Vehicle 500 SecondsStinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Grade 3 (severe)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Grade 1 (minimal)1 participants
Vehicle 500 SecondsStinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Grade 0 (none)61 participants
Vehicle 500 SecondsStinging/Burning at Visit 7 (Week 9 - Post Light Treatment)Grade 2 (moderate)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0006Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0245Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0097Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0146Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Visit 7 (Week 9 - prior to light treatment)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Grade 0 (none)48 participants
ALA 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Grade 1 (minimal)8 participants
ALA 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Grade 2 (moderate)0 participants
ALA 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Grade 1 (minimal)6 participants
ALA 500 SecondsStinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Grade 2 (moderate)3 participants
ALA 500 SecondsStinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Grade 0 (none)51 participants
Vehicle 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Grade 2 (moderate)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Grade 1 (minimal)1 participants
Vehicle 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Grade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Grade 0 (none)55 participants
Vehicle 500 SecondsStinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Grade 3 (severe)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Grade 1 (minimal)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Grade 0 (none)62 participants
Vehicle 500 SecondsStinging/Burning at Visit 7 (Week 9 - Prior to Light Treatment)Grade 2 (moderate)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0463Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.1261Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0947Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.0886Cochran-Mantel-Haenszel
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 1Cochran-Mantel-Haenszel
Secondary

Stinging/Burning at Visit 9 (3 Weeks After Final PDT)

STINGING AND BURNING SCALE Grade 0 = None Grade 1 = Minimal, barely perceptible -tolerable and little discomfort Grade 2 = Moderate - tolerable, but causes some discomfort Grade 3 = Severe - very uncomfortable or intolerable

Time frame: Visit 9 (3 Weeks after Final PDT)

Population: ITT observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsStinging/Burning at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)61 participants
ALA 1000 SecondsStinging/Burning at Visit 9 (3 Weeks After Final PDT)Grade 1 (minimal)1 participants
ALA 1000 SecondsStinging/Burning at Visit 9 (3 Weeks After Final PDT)Grade 2 (moderate)0 participants
ALA 1000 SecondsStinging/Burning at Visit 9 (3 Weeks After Final PDT)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 9 (3 Weeks After Final PDT)Grade 1 (minimal)0 participants
ALA 500 SecondsStinging/Burning at Visit 9 (3 Weeks After Final PDT)Grade 2 (moderate)0 participants
ALA 500 SecondsStinging/Burning at Visit 9 (3 Weeks After Final PDT)Grade 3 (severe)0 participants
ALA 500 SecondsStinging/Burning at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)61 participants
Vehicle 1000 SecondsStinging/Burning at Visit 9 (3 Weeks After Final PDT)Grade 2 (moderate)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 9 (3 Weeks After Final PDT)Grade 1 (minimal)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 9 (3 Weeks After Final PDT)Grade 3 (severe)0 participants
Vehicle 1000 SecondsStinging/Burning at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)57 participants
Vehicle 500 SecondsStinging/Burning at Visit 9 (3 Weeks After Final PDT)Grade 3 (severe)1 participants
Vehicle 500 SecondsStinging/Burning at Visit 9 (3 Weeks After Final PDT)Grade 1 (minimal)0 participants
Vehicle 500 SecondsStinging/Burning at Visit 9 (3 Weeks After Final PDT)Grade 0 (none)62 participants
Vehicle 500 SecondsStinging/Burning at Visit 9 (3 Weeks After Final PDT)Grade 2 (moderate)0 participants
Comparison: Dichotomized grade as less than or equal to one and greater than one. Null hypothesis: equal response rates.p-value: 0.4235Cochran-Mantel-Haenszel
Secondary

Subject Satisfaction Score

Subject satisfaction score 1. = Excellent (very satisfied) 2. = Good (moderately satisfied) 3. = Fair (slightly satisfied) 4. = Poor (not satisfied at all)

Time frame: 6 weeks after final treatment

Population: ITT, observed

ArmMeasureGroupValue (NUMBER)
ALA 1000 SecondsSubject Satisfaction ScoreExcellent23 participants
ALA 1000 SecondsSubject Satisfaction ScoreGood18 participants
ALA 1000 SecondsSubject Satisfaction ScoreFair17 participants
ALA 1000 SecondsSubject Satisfaction ScorePoor6 participants
ALA 500 SecondsSubject Satisfaction ScoreGood28 participants
ALA 500 SecondsSubject Satisfaction ScoreFair17 participants
ALA 500 SecondsSubject Satisfaction ScorePoor5 participants
ALA 500 SecondsSubject Satisfaction ScoreExcellent11 participants
Vehicle 1000 SecondsSubject Satisfaction ScoreFair11 participants
Vehicle 1000 SecondsSubject Satisfaction ScoreGood20 participants
Vehicle 1000 SecondsSubject Satisfaction ScorePoor4 participants
Vehicle 1000 SecondsSubject Satisfaction ScoreExcellent23 participants
Vehicle 500 SecondsSubject Satisfaction ScorePoor5 participants
Vehicle 500 SecondsSubject Satisfaction ScoreGood23 participants
Vehicle 500 SecondsSubject Satisfaction ScoreExcellent26 participants
Vehicle 500 SecondsSubject Satisfaction ScoreFair12 participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026